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Arkansas rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $2,674.49 / $4,597.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,128.02 / $2,715.26 / $3,080.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,392.17 / $3,166.12 / $3,517.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $541.00 / $561.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.13 / $3,147.67 / $4,123.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $750.00 / $2,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,972.43 / $2,650.43 / $4,639.56