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Arkansas rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.39 / $1,074.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.24 / $301.04 / $385.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.60 / $464.60 / $557.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $308.97 / $408.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.90 / $768.90 / $768.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.21 / $369.36 / $535.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $330.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.84 / $319.31 / $594.09