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Arizona rates for HCPCS Q4074

Iloprost Non-Comp Unit Dose

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.86 / $174.81 / $486.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.60 / $510.95 / $831.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.37 / $152.56 / $348.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.91 / $158.91 / $158.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.58 / $158.91 / $158.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $166.86 / $654.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91