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Arizona rates for HCPCS J9302

Injection Ofatumumab 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.47 / $144.80 / $217.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $60.09 / $70.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.13 / $192.22 / $340.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.68 / $57.92 / $65.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $63.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.64 / $66.14 / $329.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $60.34 / $130.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $60.34 / $63.96