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Arkansas rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.45 / $1,397.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.94 / $607.08 / $822.56
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
$674.34 / $842.93 / $991.68
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
$419.84 / $759.00 / $1,045.96
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
$550.01 / $687.51 / $1,140.97