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Arizona rates for HCPCS J9301

Injection, obinutuzumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.94 / $158.00 / $237.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $82.19 / $2,213.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.25 / $90.25 / $90.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.20 / $236.69 / $413.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.80 / $75.84 / $82.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.52 / $79.00 / $79.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.64 / $91.01 / $145.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.45 / $78.45 / $170.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $83.74