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Arizona rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.79 / $768.23 / $1,154.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.80 / $461.78 / $1,156.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.37 / $1,321.16 / $2,174.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.98 / $369.42 / $2,448.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.72 / $384.85 / $384.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.64 / $503.76 / $869.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.64 / $381.64 / $421.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.50 / $384.85 / $419.65