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Arkansas rates for HCPCS 31623

Brnchsc Brushing/Protected Brushings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.23 / $1,074.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.84 / $231.63 / $354.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $116.28 / $116.28
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
$132.47 / $194.81 / $362.77
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
$187.23 / $261.33 / $488.64
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.72 / $133.72 / $133.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.17 / $354.84 / $533.20