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Arkansas rates for HCPCS 23650

Clsd Tx Shoulder Dislc W/Manipulation W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.98 / $803.00 / $2,812.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$158.34 / $172.41 / $209.92
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$237.51 / $258.61 / $314.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.64 / $316.27 / $406.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.87 / $411.52 / $449.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.54 / $210.54 / $252.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.67 / $433.68 / $480.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.26 / $167.26 / $167.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.52 / $456.08 / $563.75
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.25 / $473.25 / $473.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.66 / $387.02 / $629.07