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Arkansas rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.01 / $1,230.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.87 / $696.39 / $866.26
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
$651.04 / $861.69 / $1,037.49
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
$497.63 / $828.07 / $1,115.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.03 / $885.14 / $1,447.54