go back

Arkansas rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.20 / $6.56 / $6.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $5.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $5.85 / $5.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $5.76 / $6.99