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Arkansas rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.89 / $461.82 / $506.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $457.97 / $461.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.05 / $414.05 / $414.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.90 / $414.05 / $414.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.06 / $384.85 / $388.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.42 / $393.00 / $492.61