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Arkansas rates for HCPCS 45800

Closure Rectovesical Fistula

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
$1,097.71 / $1,382.94 / $1,949.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.87 / $1,748.21 / $1,942.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $541.00 / $561.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.58 / $1,689.49 / $2,238.56
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
$1,082.82 / $1,454.83 / $2,503.67