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Arizona rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.20 / $73.64 / $26,413.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $37.74 / $52.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.02 / $112.68 / $194.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $34.83 / $38.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $36.28 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $41.72 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $36.26 / $78.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $36.28 / $50.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $38.46