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Arkansas rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $1,081.29 / $2,812.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.96 / $1,458.96 / $1,750.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,300.36 / $5,300.36 / $5,300.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,957.00