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Arkansas rates for HCPCS J1746

Injection Ibalizumab-Uiyk 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.30 / $95.11 / $4,086.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $95.11 / $95.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.12 / $86.12 / $86.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.84 / $86.12 / $86.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $79.26 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $79.26 / $79.26