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Arizona rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $7.00 / $124.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.58 / $11.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $12.31 / $22.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.70 / $4.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $4.91 / $11.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $3.82 / $111.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.66