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Arkansas rates for HCPCS 36904

Perq Thrmbc/Nfs Dialysis Circuit Img Dx Angrph

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.15 / $2,077.41 / $3,116.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.92 / $1,499.36 / $2,457.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,304.24 / $5,304.24 / $6,365.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.47 / $531.58 / $2,308.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.29 / $717.59 / $3,239.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $4,555.00 / $8,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.05 / $2,034.43 / $3,670.00