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Arkansas rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.97 / $1,254.18 / $1,254.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,252.97 / $1,254.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.80 / $1,132.80 / $1,132.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.93 / $1,132.80 / $1,132.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.99 / $1,045.15 / $1,308.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,346.40