go back

Arizona rates for HCPCS J9999

Chemotherapy Drug

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.94 / $1.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,198.03 / $53,198.03 / $53,198.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,663.45 / $25,663.45 / $25,663.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $2.99 / $5.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.80 / $0.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.65 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $1,576.51 / $1,576.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00