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Arkansas rates for HCPCS 12004

Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.75 / $690.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.91 / $109.47 / $211.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.45 / $115.45 / $115.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.66 / $183.66 / $220.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.05 / $107.42 / $174.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.65 / $136.65 / $136.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $118.00 / $218.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.82 / $162.31 / $237.19