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Arizona rates for HCPCS J9185

Fludarabine Phosphate 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.30 / $136.40 / $389.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $69.56 / $94.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.56 / $202.83 / $343.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.47 / $69.36 / $75.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.20 / $68.20 / $168.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $68.20 / $68.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.65 / $98.01 / $344.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.65 / $71.65 / $1,771.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.53 / $59.53 / $98.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $68.20 / $72.29