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Arkansas rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.46 / $470.51 / $472.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $431.22 / $472.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.32 / $427.32 / $427.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.32 / $427.32 / $427.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $392.09 / $401.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $401.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $399.93