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Arkansas rates for HCPCS Q4074

Iloprost Non-Comp Unit Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.04 / $190.70 / $190.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $190.70 / $190.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.41 / $172.41 / $172.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.41 / $172.41 / $172.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.62 / $152.91 / $158.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $163.69