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Arkansas rates for HCPCS J9317

Injection Sacituzumab Govitecan-Hziy 2.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.70 / $43.53 / $45.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $39.18 / $43.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.34 / $39.34 / $39.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $39.34 / $39.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $47.16 / $54.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $36.28 / $84.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $35.44 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $39.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $46.44