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Arkansas rates for HCPCS 15050

Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,071.52 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $524.81 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $363.08 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $891.25