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Arkansas rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.97 / $6.55 / $6.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.23 / $6.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $5.62 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.46 / $6.40