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Arkansas rates for HCPCS 25630

Cltx Carpal Bone Fx W/O Manj Each Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.21 / $803.00 / $2,812.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$232.92 / $260.88 / $290.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.32 / $309.27 / $398.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.09 / $219.09 / $219.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.54 / $210.54 / $252.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.73 / $411.26 / $442.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.26 / $167.26 / $167.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.12 / $436.14 / $536.08
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.95 / $251.95 / $251.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.36 / $357.66 / $581.40