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Arizona rates for HCPCS J9037

Injection, belantamab mafodotin-blmf, 0.5 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $48.89 / $77.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $208.65 / $208.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.25 / $201.25 / $201.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.45 / $45.45 / $50.00