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Arkansas rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,812.36 / $2,915.87 / $2,928.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,551.39 / $2,928.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,647.93 / $2,647.93 / $2,647.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,533.62 / $2,647.93 / $2,647.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,099.33 / $2,413.36 / $2,429.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,636.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,825.70