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Arkansas rates for HCPCS 64634

Dstr Nrolytc Agnt Parverteb Fct Addl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.75 / $1,000.00 / $3,109.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$731.25 / $1,337.50 / $4,516.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.97 / $181.12 / $419.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$97.94 / $97.94 / $840.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.48 / $97.48 / $107.76
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$146.22 / $146.22 / $146.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.83 / $111.52 / $374.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.06 / $87.00 / $197.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.29 / $271.29 / $282.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.87 / $157.78 / $400.43
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.10 / $112.10 / $112.10
Qualchoice
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$168.16 / $168.16 / $592.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.67 / $246.38 / $391.11