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Arkansas rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $168.50 / $693.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $26.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $13.00 / $13.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.13 / $0.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.14 / $0.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.11
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.65 / $12.65 / $13.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.13