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Arkansas rates for HCPCS J0791

Injection, crizanlizumab-tmca, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.02 / $155.38 / $166.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $155.38 / $155.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.58 / $140.58 / $140.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.38 / $140.58 / $140.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.15 / $129.47 / $129.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.10 / $129.47 / $129.47