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Arizona rates for HCPCS J9042

Injection, brentuximab vedotin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.23 / $517.28 / $66,914.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $261.23 / $355.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.91 / $783.45 / $1,353.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.97 / $248.30 / $271.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $258.64 / $258.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $258.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.71 / $284.37 / $442.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.52 / $258.52 / $560.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $274.16