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Arizona rates for HCPCS J7686

Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.82 / $1,592.18 / $2,388.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.90 / $875.70 / $1,684.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.46 / $2,547.48 / $4,241.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.91 / $764.25 / $1,744.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.03 / $796.09 / $796.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $806.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.15 / $840.16 / $3,356.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $800.15 / $800.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $796.09