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Arkansas rates for HCPCS 15135

Dermal Autograft F/S/N/H/F/G/M/D Gt 1st 100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.27 / $1,218.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.86 / $812.27 / $1,148.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.46 / $3,308.46 / $3,970.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.96 / $1,004.51 / $1,155.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.03 / $1,620.03 / $1,620.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.36 / $923.90 / $1,257.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.86 / $902.60 / $1,590.84