go back

Arizona rates for HCPCS J9293

Injection, mitoxantrone HCl, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.03 / $53.07 / $355.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $24.12 / $41.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.68 / $83.29 / $148.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.93 / $25.79 / $31.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $23.88 / $60.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $23.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $40.61 / $367.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.60 / $29.60 / $1,372.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $25.31