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Arkansas rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $5.34 / $5.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.80 / $5.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $4.73 / $4.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.73 / $4.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.28 / $4.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.58 / $5.70