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Arkansas rates for HCPCS 42600

Closure Salivary Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.15 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.17 / $491.49 / $645.63
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
$382.13 / $561.96 / $765.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $515.00 / $1,734.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.36 / $552.04 / $850.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $1,106.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.10 / $562.64 / $998.65