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Arkansas rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.64 / $1,397.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.27 / $278.89 / $354.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,875.60 / $2,875.60 / $3,450.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.70 / $327.83 / $327.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,022.76 / $2,022.76 / $2,022.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $419.79 / $650.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.47 / $302.73 / $480.72