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Arkansas rates for HCPCS J0257

Injection, alpha 1 proteinase inhibitor (human), (GLASSIA), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $6.77 / $6.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.77 / $6.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.20 / $6.20 / $6.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $6.20 / $6.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.64 / $5.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $6.72