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Arkansas rates for HCPCS 43640

Vgtmy W/Pylorplsty W/Wo Gastrost Truncal/Slctv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.13 / $1,401.25 / $1,566.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.36 / $1,641.66 / $1,824.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $541.00 / $561.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.05 / $1,735.03 / $2,107.50
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
$1,035.55 / $1,387.74 / $2,361.01