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Arkansas rates for HCPCS 65125

Modificaj Oc Implt W/Plmt/Rplcmt Pegs Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.63 / $616.50 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.41 / $364.16 / $641.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,150.23 / $2,150.23 / $2,580.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.68 / $478.18 / $632.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,708.38 / $2,708.38 / $2,708.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $457.53 / $774.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.08 / $467.72 / $841.90