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Arkansas rates for HCPCS 38200

Injection Procedure Splenoportograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.19 / $1,064.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.17 / $180.19 / $212.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.75 / $173.05 / $192.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $216.75 / $294.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.18 / $196.76 / $301.23