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Arkansas rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.51 / $1,230.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.24 / $811.37 / $1,028.98
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
$732.00 / $968.82 / $1,158.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,414.94 / $2,414.94 / $2,414.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.04 / $897.35 / $1,230.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.78 / $913.07 / $1,596.99