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Arkansas rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.08 / $354.08 / $354.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.74 / $345.74 / $354.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.85 / $381.85 / $381.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.85 / $381.85 / $381.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.29 / $367.96 / $381.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.08 / $357.54 / $357.54