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Arkansas rates for HCPCS 57292

Construction Artificial Vagina W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.78 / $1,688.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.53 / $937.78 / $1,151.91
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
$808.15 / $1,069.60 / $1,069.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,558.75 / $3,558.75 / $3,558.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.76 / $1,313.73 / $1,438.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.16 / $971.06 / $1,575.00