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Arkansas rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.20 / $29.61 / $90.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.46 / $30.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $25.20 / $27.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $28.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.96 / $32.26