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Arkansas rates for HCPCS 13121

Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.00 / $1,130.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.85 / $365.83 / $461.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.54 / $295.54 / $369.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.85 / $590.85 / $709.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.33 / $379.90 / $560.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.77 / $399.77 / $399.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.94 / $317.94 / $317.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.28 / $432.04 / $662.86
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.45 / $339.87 / $425.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.83 / $441.74 / $725.60