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Arkansas rates for HCPCS 63197

Lam W/Cordotomy Sctj Spinothalamic Trc 1stg Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,992.62 / $3,650.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.56 / $2,032.06 / $2,440.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.93 / $2,316.16 / $2,452.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.29 / $2,528.82 / $3,535.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $900.00 / $2,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.55 / $2,049.00 / $3,289.74