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Arizona rates for HCPCS J9274

Injection Tebentafusp-Tebn 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.68 / $434.18 / $651.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $219.26 / $275.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.94 / $474.11 / $1,014.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.41 / $210.14 / $231.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.80 / $217.09 / $217.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $217.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.09 / $246.18 / $429.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $418.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $230.12