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Arkansas rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.45 / $610.76 / $623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $610.76 / $623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.63 / $563.63 / $563.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.48 / $563.63 / $563.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.28 / $480.15 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $513.98