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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
$44.67 / $54.95 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $66.07 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $33.88 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $34.67 / $61.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $34.67