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Arkansas rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.44 / $21.78 / $22.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $21.78 / $22.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $18.14 / $18.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $25.01