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Arkansas rates for HCPCS J1573

Injection, hepatitis B immune globulin (Hepagam B), intravenous, 0.5 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.97 / $79.97 / $86.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $71.66 / $82.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.75 / $77.75 / $77.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.59 / $77.75 / $77.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.23 / $66.64 / $66.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $95.09