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Arkansas rates for HCPCS 12017

Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.08 / $1,277.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.81 / $170.12 / $364.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.42 / $379.42 / $455.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.27 / $190.33 / $223.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.65 / $136.65 / $136.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.90 / $242.53 / $522.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.72 / $205.33 / $316.64