go back

Arkansas rates for HCPCS J1557

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.42 / $76.42 / $76.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $74.95 / $76.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.77 / $67.77 / $67.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $67.77 / $67.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.21 / $63.68 / $63.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $124.43