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Arkansas rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.44 / $1,064.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $294.77 / $391.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.53 / $218.53 / $249.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.64 / $134.76 / $458.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.34 / $515.00 / $561.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.71 / $192.54 / $555.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $271.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.27 / $411.99 / $645.27