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Arkansas rates for HCPCS J1568

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.64 / $57.03 / $58.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $48.00 / $57.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.49 / $52.49 / $52.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.87 / $52.49 / $52.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.60 / $47.52 / $47.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $97.84