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Arkansas rates for HCPCS J1561

Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.64 / $1,889.82 / $2,518.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $54.39 / $58.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.11 / $52.11 / $52.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.17 / $52.11 / $52.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.19 / $48.96 / $48.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $87.80