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Arkansas rates for HCPCS 64400

Injection Aa&/Strd Trigeminal Nerve Each Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.72 / $572.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $99.76 / $160.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.15 / $112.15 / $146.60
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$168.22 / $168.22 / $168.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.52 / $276.52 / $331.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.37 / $82.90 / $164.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.56 / $66.88 / $264.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.54 / $123.54 / $128.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.91 / $257.91 / $257.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.66 / $137.13 / $241.41
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.59 / $168.59 / $168.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $345.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.17 / $145.72 / $209.44