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Arkansas rates for HCPCS 82642

Dihydrotestosterone (DHT)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.99 / $40.99 / $61.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $40.99 / $40.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.38 / $33.38 / $33.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.28 / $48.80 / $48.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.74 / $30.74 / $30.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.03 / $19.03 / $29.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.03 / $37.97 / $60.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $33.86 / $42.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.28 / $29.28 / $29.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $17.57 / $28.35