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Arkansas rates for HCPCS 57155

Insertion Uterine Tandem&/Vaginal Ovoids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.89 / $1,083.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.40 / $330.89 / $435.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,714.07 / $4,714.07 / $5,656.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.77 / $402.40 / $532.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.68 / $685.68 / $685.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.77 / $505.68 / $674.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $811.00 / $2,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.56 / $474.91 / $752.20