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Arkansas rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.52 / $2,038.46 / $8,153.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $59.96 / $60.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.72 / $54.72 / $54.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.03 / $54.72 / $54.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.66 / $50.74 / $50.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $97.85