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Arizona rates for HCPCS J9229

Injection, inotuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.91 / $4,837.60 / $8,094.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,778.99 / $3,705.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,315.77 / $8,490.76 / $14,430.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,590.13 / $2,611.71 / $2,872.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.33 / $2,698.05 / $2,698.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $2,698.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.05 / $3,106.53 / $5,385.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $5,854.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $3,003.50