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Arkansas rates for HCPCS 43762

Perq Replacement Gtube Not Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.45 / $1,064.00 / $2,812.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$23.08 / $37.82 / $204.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $205.30 / $371.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $59.93 / $298.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.53 / $218.53 / $249.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.20 / $57.65 / $309.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.34 / $515.00 / $561.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $210.12 / $375.09
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.58 / $68.92 / $78.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $337.00 / $707.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.59 / $251.08 / $417.51