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Arkansas rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.89 / $67.31 / $68.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $57.43 / $67.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.31 / $62.31 / $62.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.95 / $62.31 / $62.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.36 / $56.10 / $56.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $61.29