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Arkansas rates for HCPCS 47701

Portoenterostomy (eg, Kasai procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,041.74 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,819.70 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $537.03 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,290.87 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $758.58 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,041.74 / $3,162.28