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Arkansas rates for HCPCS 62304

Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.17 / $1,000.00 / $3,043.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.52 / $222.92 / $379.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.17 / $194.17 / $235.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.37 / $753.37 / $904.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.12 / $194.30 / $371.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.97 / $263.95 / $496.32
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.30 / $270.83 / $270.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $827.00 / $2,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.26 / $318.63 / $511.69