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Arkansas rates for HCPCS J2469

Injection, palonosetron HCl, 25 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $47.20 / $120.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.37 / $12.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $55.00 / $55.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.50 / $0.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.39
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.50 / $57.50 / $57.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.37 / $0.46