go back

Arkansas rates for HCPCS J9019

Erwinaze Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $411.15 / $538.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $401.47 / $411.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.54 / $463.54 / $463.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.39 / $463.54 / $463.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $411.15 / $443.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $415.17 / $463.54