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Arkansas rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $3,109.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,417.80 / $6,910.78 / $7,919.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,118.29 / $6,774.21 / $6,774.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,575.00 / $9,186.78 / $12,249.04
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
$5,000.58 / $6,532.98 / $11,750.15