go back

Arkansas rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.42 / $310.61 / $310.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.30 / $310.61 / $310.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.30 / $298.30 / $298.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $298.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.32 / $310.61 / $611.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.05 / $298.30 / $401.36