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Arkansas rates for HCPCS J9331

Injection Sirolimus Protein-Bound Particles 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.43 / $101.49 / $106.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $88.80 / $101.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.70 / $91.70 / $91.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.70 / $91.70 / $122.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.78 / $84.57 / $84.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $91.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.03 / $84.57 / $108.25