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Arkansas rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.56 / $803.00 / $2,812.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$106.55 / $118.00 / $130.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.52 / $144.88 / $210.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.54 / $210.54 / $252.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.01 / $180.02 / $204.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.26 / $167.26 / $167.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.78 / $200.18 / $236.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.58 / $162.79 / $277.26