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Arkansas rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,000.00 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $512.86 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,290.87 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $660.69