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Arkansas rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.92 / $1,688.00 / $3,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.32 / $310.52 / $443.14
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
$232.87 / $342.45 / $525.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $1,095.00 / $2,519.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.35 / $337.89 / $579.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,461.00 / $3,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.55 / $379.21 / $667.78