go back

Arkansas rates for HCPCS J9245

Injection, melphalan HCl, not otherwise specified, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.08 / $129.63 / $136.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $100.70 / $129.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.21 / $117.21 / $117.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.21 / $117.21 / $163.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.47 / $95.90 / $336.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $95.90 / $122.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $95.90 / $160.43