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Arizona rates for HCPCS J7178

Injection, human fibrinogen concentrate, not otherwise specified, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $3.04 / $4.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $5.25 / $8.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.47 / $9.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.52 / $1.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $2.00 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52