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Arkansas rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.89 / $315.89 / $405.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $308.47 / $339.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.86 / $333.86 / $333.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.86 / $333.86 / $333.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.92 / $321.72 / $333.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $349.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.22 / $309.70 / $356.17