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Arkansas rates for HCPCS 35122

Dir Rpr Ruptd Aneursm Hepatic/Celiac/Renal/Mesen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $2,292.46 / $4,026.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.76 / $2,292.46 / $2,888.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,815.13 / $2,402.38 / $2,402.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,252.66 / $3,326.18 / $3,927.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,784.81 / $2,499.27 / $3,812.34