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Arkansas rates for HCPCS J9042

Injection, brentuximab vedotin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.22 / $310.37 / $19,769.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $271.57 / $310.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.45 / $280.45 / $280.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.32 / $280.45 / $280.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.93 / $248.93 / $258.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $280.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.58 / $258.64 / $297.44