go back

Arkansas rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.44 / $47.34 / $75.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $47.34 / $48.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.82 / $43.82 / $43.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.71 / $43.82 / $43.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.21 / $39.45 / $68.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $39.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.47 / $39.45 / $160.22