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Arizona rates for HCPCS J9050

Injection, carmustine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.15 / $476.92 / $715.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.46 / $238.46 / $286.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.91 / $545.40 / $1,081.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.08 / $195.39 / $248.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $238.46 / $280.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.30 / $210.11 / $3,359.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.64 / $173.64 / $16,586.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $252.77