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Arkansas rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $4.17 / $36.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.44 / $3.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $2.84 / $2.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.84 / $2.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.04 / $4.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $8.24