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Arkansas rates for HCPCS J0470

Dimecaprol Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $53.27 / $54.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.64 / $54.55 / $62.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $56.42 / $56.42