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Arizona rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.67 / $490.70 / $1,114.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $308.47 / $361.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.38 / $960.98 / $1,683.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.31 / $304.75 / $448.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $309.70 / $1,255.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $309.70 / $328.29