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Arkansas rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.26 / $42.66 / $43.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $42.66 / $43.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.96 / $38.96 / $38.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.27 / $38.96 / $38.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.66 / $33.54 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.79