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Arkansas rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.94 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.37 / $145.47 / $189.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.42 / $379.42 / $455.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.15 / $186.81 / $233.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.94 / $317.94 / $317.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.47 / $207.62 / $264.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.71 / $181.65 / $289.86