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Arizona rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.43 / $3.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.35 / $1.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $4.12 / $6.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.17 / $7.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.60 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23