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Arizona rates for HCPCS J9246

Injection Melphalan (Evomela) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $37.00 / $55.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.11 / $20.35 / $22.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.12 / $63.55 / $105.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $16.82 / $117.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $22.93 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $17.37 / $19.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50