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Arkansas rates for HCPCS 31622

Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.19 / $1,074.00 / $3,109.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$87.30 / $118.36 / $204.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.96 / $227.81 / $409.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $210.13 / $230.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.78 / $1,625.78 / $1,950.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.06 / $194.20 / $329.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.68 / $186.68 / $186.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.66 / $290.85 / $522.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.51 / $1,046.51 / $1,046.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.58 / $256.27 / $444.81
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.95 / $241.65 / $265.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.79 / $306.08 / $475.33