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Arkansas rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $794.33 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $74.13 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $79.43 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $363.08 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $89.13 / $134.90
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,288.25 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $81.28 / $128.82