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Arkansas rates for HCPCS 49605

Rpr Lg Omphalocele/Gastroschisis W/Wo Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $2,493.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,465.16 / $5,774.83 / $7,070.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,080.14 / $6,723.73 / $7,470.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $541.00 / $561.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.90 / $6,888.76 / $8,919.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $750.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,279.51 / $6,001.76 / $9,924.81