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Arizona rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.96 / $70.95 / $106.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.74 / $28.74 / $34.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.61 / $41.10 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08