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Arkansas rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.59 / $1,074.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.12 / $331.54 / $429.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.85 / $590.85 / $709.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.45 / $381.55 / $517.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.90 / $447.90 / $447.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.75 / $365.83 / $559.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.30 / $425.26 / $725.59