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Arkansas rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.99 / $596.09 / $649.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $596.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.66 / $538.66 / $538.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.42 / $538.66 / $538.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $496.74 / $499.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.70 / $496.74 / $556.35