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Arkansas rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.08 / $25.83 / $45.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $22.39 / $26.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.99 / $22.99 / $22.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.67 / $28.67 / $28.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.37 / $28.67 / $28.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $21.52 / $29.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $24.37
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.44 / $26.44 / $26.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $27.56