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Arkansas rates for HCPCS J2507

Pegloticase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,991.31 / $4,393.00 / $4,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $4,366.64 / $4,393.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,947.82 / $3,947.82 / $3,947.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,699.86 / $3,947.82 / $3,947.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.31 / $3,660.83 / $3,660.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,919.73