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Arkansas rates for HCPCS 15115

Epidermal Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.00 / $1,181.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.64 / $754.58 / $1,137.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.26 / $1,755.26 / $2,106.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.96 / $926.42 / $1,073.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.90 / $447.90 / $447.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.25 / $844.21 / $1,171.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,431.00 / $3,109.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.68 / $824.29 / $1,463.44