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Arkansas rates for HCPCS 22853

Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.10 / $1,064.00 / $3,696.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.55 / $281.18 / $473.24
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$27.54 / $29.88 / $63.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.97 / $355.97 / $355.97
Ambetter
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$48.41 / $48.41 / $48.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.89 / $328.63 / $347.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.00 / $333.26 / $772.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.55 / $297.55 / $309.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.98 / $395.39 / $463.46
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.37 / $409.37 / $435.60
Qualchoice
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$55.67 / $55.67 / $55.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.11 / $342.87 / $514.85