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Arkansas rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.84 / $1,775.43 / $3,109.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,714.07 / $4,714.07 / $5,656.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,558.75 / $3,558.75 / $3,558.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,652.00