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Arizona rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.19 / $43.70 / $143.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.74 / $29.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.08 / $25.08 / $25.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.22 / $66.88 / $117.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $20.67 / $22.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.90 / $27.59 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.90 / $20.90 / $971.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $22.82