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Arkansas rates for HCPCS 77014

Computed tomography guidance for placement of radiation therapy fields

Insurance Carrier
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $177.83 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $50.12 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $107.15 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $134.90 / $169.82
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $52.48 / $67.61
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $81.28 / $104.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $147.91 / $251.19
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $239.88
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $66.07 / $95.50
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $123.03 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $173.78 / $223.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $45.71 / $83.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $117.49 / $154.88