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Arkansas rates for HCPCS 57426

Revision Prosthetic Vaginal Graft Laparoscopic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.15 / $1,821.00 / $3,109.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,043.52 / $7,043.52 / $8,452.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,022.76 / $2,022.76 / $2,022.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,314.00 / $5,652.00