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Arizona rates for HCPCS J9261

Injection, nelarabine, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $159.72 / $5,221.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.81 / $79.86 / $95.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.05 / $216.55 / $394.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.35 / $71.31 / $83.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.34 / $79.86 / $82.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $79.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.38 / $83.66 / $198.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.38 / $63.38 / $4,956.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $84.65