go back

Arkansas rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $2.16 / $2.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.16 / $2.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.40 / $2.40