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Arkansas rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,971.34 / $4,971.34 / $5,219.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,678.89 / $4,854.35 / $4,971.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,604.94 / $5,604.94 / $5,604.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,361.25 / $5,604.94 / $5,604.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,268.40 / $4,971.34 / $5,027.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,971.34 / $4,971.34 / $4,971.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,873.85 / $5,020.08 / $5,604.94