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Arkansas rates for HCPCS J9340

Thiotepa 15 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.30 / $254.30 / $254.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.30 / $254.30 / $254.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.66 / $264.66 / $317.08