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Arkansas rates for HCPCS 43634

Gstrct Prtl Dstl W/Frmj Intstinal Pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $2,477.00 / $4,230.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.40 / $2,497.48 / $2,772.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,201.19 / $2,913.34 / $3,237.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $541.00 / $561.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.66 / $2,895.35 / $3,809.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $750.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.64 / $2,397.66 / $4,264.93