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Arkansas rates for HCPCS 49465

Contrast Injection Perq Radiologic Eval Gi Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.99 / $572.00 / $2,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.76 / $126.38 / $231.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.76 / $50.11 / $55.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.50 / $237.50 / $285.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $47.38 / $187.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.04 / $131.04 / $131.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.78 / $65.70 / $273.75
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.32 / $58.40 / $64.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.10 / $205.12 / $291.98