go back

Arkansas rates for HCPCS J0257

Glassia Injection

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