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Arizona rates for HCPCS J3396

Injection, verteporfin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.35 / $23.08 / $34.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $12.69 / $29.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.03 / $39.90 / $65.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.69 / $11.18 / $73.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.52 / $11.54 / $11.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.70 / $15.25 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $11.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $11.53 / $11.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54