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Arkansas rates for HCPCS 64484

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.20 / $624.00 / $2,500.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$12.98 / $22.10 / $41.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $96.65 / $154.49
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$130.49 / $130.49 / $148.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.95 / $79.89 / $163.57
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$110.93 / $110.93 / $122.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.24 / $85.65 / $164.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.61 / $65.67 / $150.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.40 / $121.40 / $126.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.59 / $375.59 / $375.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.34 / $116.85 / $222.07
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.04 / $85.04 / $188.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $330.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.94 / $145.66 / $244.96