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Arkansas rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.79 / $1,130.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.55 / $422.77 / $575.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.60 / $464.60 / $557.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.33 / $546.69 / $723.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.90 / $768.90 / $768.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $503.56 / $780.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $330.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.45 / $524.74 / $909.74