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Arizona rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.44 / $42.14 / $75.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.21 / $34.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.16 / $76.45 / $133.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.75 / $24.19 / $26.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $31.76 / $72.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $23.50 / $565.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $26.71