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Arizona rates for HCPCS J9359

Injection, loncastuximab tesirine-lpyl, 0.075 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.08 / $388.63 / $650.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $219.07 / $275.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.52 / $667.21 / $1,150.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.22 / $209.81 / $230.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.63 / $216.90 / $216.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $216.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.74 / $249.44 / $425.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.74 / $216.74 / $470.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $229.91