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Arkansas rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $17.80 / $18.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $17.80 / $17.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.18 / $16.18 / $16.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $16.18 / $16.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.84 / $15.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $14.84 / $14.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $19.64