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Arkansas rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.83 / $1,727.43 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.27 / $1,154.43 / $1,966.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.62 / $5,430.62 / $6,190.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.23 / $1,362.21 / $1,513.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $789.00 / $4,337.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.09 / $1,284.03 / $1,735.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,626.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.19 / $1,049.75 / $1,926.32