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Arkansas rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.20 / $2.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.92 / $2.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $1.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.99 / $1.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.83 / $1.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.83 / $1.91