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Arkansas rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $15.17 / $22.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.87 / $14.87 / $14.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $14.87 / $14.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.69 / $16.64 / $16.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.55 / $16.39 / $23.60