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Arkansas rates for HCPCS 12031

Repair Intermediate S/A/T/E 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.06 / $1,000.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.61 / $202.91 / $253.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.66 / $362.78 / $391.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.42 / $379.42 / $455.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.76 / $223.18 / $346.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.61 / $246.61 / $246.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.65 / $136.65 / $136.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.53 / $238.08 / $385.19
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.51 / $417.20 / $450.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.82 / $245.82 / $421.65