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Arizona rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Facilitymedian $3 · 10th–90th $2–$110%10%10th90th$3Professionalmedian $2 · 10th–90th $1–$20%20%40%10th90th$2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.47 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $6.31 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.95 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $3.09 / $3.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $1.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.04 / $3.16
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $3.02 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.86 / $1.86