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Arkansas rates for HCPCS J1562

Injection Immune Globulin Intravenous 5 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $12.24 / $12.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $11.95 / $12.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $7.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $7.54 / $7.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $7.52 / $10.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $14.40 / $16.13