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Arkansas rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.74 / $1,083.00 / $3,109.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.00 / $384.00 / $437.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.28 / $490.00 / $515.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $261.00 / $721.00