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Arkansas rates for HCPCS 00104

Anesthesia for electroconvulsive therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$380.19 / $549.54 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$120.23 / $257.04 / $389.05
Qualchoice
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$295.12 / $295.12 / $446.68