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Arizona rates for HCPCS J9319

Injection, romidepsin, lyophilized, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.93 / $55.71 / $92.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $31.08 / $39.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $97.62 / $171.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.55 / $30.09 / $33.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.39 / $30.78 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $30.78 / $30.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.08 / $35.78 / $69.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.08 / $59.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $30.78 / $32.63