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Arkansas rates for HCPCS J9320

Streptozocin 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.22 / $374.03 / $1,326.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.80 / $1,294.80 / $1,326.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.61 / $401.61 / $401.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.15 / $401.61 / $401.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.75 / $1,326.00 / $1,326.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.00 / $1,326.00 / $1,326.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.00 / $1,300.00 / $1,495.00