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Arkansas rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $17.20 / $17.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $16.95 / $17.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.16 / $15.32 / $15.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.65 / $14.34 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $24.58