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Arizona rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,946.70 / $36,952.00 / $83,962.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $23,229.71 / $27,204.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,151.07 / $74,307.08 / $131,611.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,591.32 / $22,390.08 / $25,188.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $24,228.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,002.85 / $23,229.71 / $36,389.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $103,405.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $24,722.38