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Arkansas rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.27 / $610.51 / $610.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $606.61 / $610.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.41 / $548.41 / $548.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.17 / $548.41 / $548.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.23 / $499.04 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.35 / $508.76 / $508.76