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Arizona rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.07 / $2,617.54 / $3,926.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.62 / $933.53 / $1,105.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.08 / $1,156.08 / $1,156.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.08 / $1,331.58 / $1,736.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.27 / $1,156.08 / $1,773.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $5,826.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $1,308.77