go back

Arkansas rates for HCPCS 99455

Work Related/Med Dblt Xm Treating Phys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.78 / $58.78 / $58.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.78 / $84.95 / $125.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.50 / $40.50 / $59.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.57 / $203.43 / $241.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.00 / $227.00 / $227.00
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.05 / $31.05 / $108.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.00 / $233.00 / $233.00