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Arkansas rates for HCPCS 0100T

Plmt Scjncl Rta Prosth&Pls&Impltj Intra-Oc Rta

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.85 / $2,333.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.01 / $1,219.85 / $2,248.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132,440.00 / $132,440.00 / $158,928.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.97 / $1,945.55 / $2,161.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,032.78 / $4,032.78 / $4,032.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $12,399.00 / $22,736.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.15 / $2,138.92 / $3,685.73