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Arkansas rates for HCPCS J1569

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.38 / $54.97 / $1,803.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.77 / $54.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.85 / $51.85 / $51.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.83 / $51.85 / $51.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $45.31 / $47.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $94.48