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Arizona rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.83 / $146.86 / $246.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.90 / $104.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.66 / $245.17 / $429.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.08 / $76.81 / $85.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.53 / $82.07 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $82.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.91 / $92.88 / $160.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $81.91 / $177.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $87.00