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Arkansas rates for HCPCS 58976

Gamete, zygote, or embryo intrafallopian transfer, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $794.33 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $251.19 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $257.04 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $380.19 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $346.74 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $257.04 / $446.68