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Arkansas rates for HCPCS 80375

Drug/Substance Definitive Qual/Quant Nos 1-3

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $28.70 / $28.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.08 / $1.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.49 / $23.95 / $29.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $12.52 / $24.18