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Arkansas rates for HCPCS 26121

Fasct Palm W/Wo Z-Plasty Tissue Reargmt/Skn Grft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.04 / $1,688.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.08 / $613.54 / $934.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.58 / $934.58 / $934.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,027.36 / $3,027.36 / $3,632.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.36 / $801.69 / $848.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,849.45 / $2,849.45 / $2,849.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.75 / $926.90 / $1,118.68
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.63 / $706.63 / $706.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,268.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.97 / $779.14 / $1,129.59