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Arkansas rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.00 / $336.00 / $496.00
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$722.50 / $999.60 / $1,799.20
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$172.00 / $397.38 / $578.00
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$93.19 / $393.70 / $461.90
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$157.61 / $157.61 / $157.61
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$459.00 / $612.00 / $663.00
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$306.00 / $306.00 / $357.00
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$306.00 / $306.00 / $306.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$459.00 / $632.50 / $1,026.00
Qualchoice
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$527.85 / $703.80 / $762.45
Qualchoice
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$527.85 / $595.13 / $1,179.90