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Arkansas rates for HCPCS 90997

Hemoperfusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.05 / $134.05 / $134.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.26 / $90.80 / $113.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.53 / $129.09 / $143.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.40 / $122.40 / $122.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.40 / $117.78 / $174.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.53 / $101.63 / $164.32