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Arkansas rates for HCPCS 42330

Sialot Submndblr Sublngl/Prtd Uncomp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.33 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.43 / $226.01 / $301.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,893.49 / $2,893.49 / $3,298.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.92 / $248.27 / $328.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.34 / $515.00 / $1,734.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.50 / $268.16 / $399.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $1,229.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.90 / $276.10 / $447.56