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Arizona rates for HCPCS J9270

Plicamycin 2.5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.65 / $130.37 / $296.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.98 / $81.95 / $95.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $87.05 / $91.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.98 / $87.98 / $127.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.74 / $98.74 / $104.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.74 / $98.74 / $104.66