go back

Arkansas rates for HCPCS J1322

Elosulfase Alfa, Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.45 / $370.42 / $370.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $368.15 / $370.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.84 / $332.84 / $332.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.02 / $332.84 / $332.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.61 / $308.68 / $308.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.43 / $308.68 / $308.68