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Arkansas rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.12 / $975.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.23 / $99.09 / $189.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.53 / $218.53 / $262.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $105.88 / $214.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.78 / $203.78 / $203.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.25 / $144.46 / $266.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.44 / $143.63 / $275.91