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Arkansas rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $2,637.84 / $4,540.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $541.00 / $561.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $750.00 / $2,421.00