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Arizona rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.54 / $784.18 / $1,176.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.46 / $431.30 / $568.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.32 / $1,282.98 / $2,141.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.95 / $376.41 / $859.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $392.09 / $393.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $401.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $413.57 / $1,973.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.87 / $393.87 / $393.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09