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Arkansas rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.74 / $20.58 / $102.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.83 / $6.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $5.57 / $5.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.57 / $5.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.78 / $6.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $9.80