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Arkansas rates for HCPCS 53515

Urtorr Sutr Urethral Wnd/Inj Prostatomembranous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.00 / $1,295.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.09 / $1,074.88 / $1,175.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,782.27 / $4,782.27 / $5,738.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.09 / $1,061.58 / $1,061.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,166.25 / $3,166.25 / $3,166.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.70 / $1,276.77 / $1,493.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,563.00 / $5,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.64 / $864.78 / $1,643.37