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Arkansas rates for HCPCS 64421

Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.13 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.87 / $104.28 / $190.93
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$334.80 / $334.80 / $334.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.69 / $866.69 / $1,040.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.21 / $37.67 / $49.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.58 / $726.58 / $726.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.53 / $135.07 / $306.67
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.23 / $41.23 / $41.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $811.00 / $1,574.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.01 / $62.71 / $317.16