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Arizona rates for HCPCS J3310

Injection, perphenazine, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $15.02 / $22.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $9.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $8.69 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.51