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Arkansas rates for HCPCS A2005

Microlyte Matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.49 / $227.49 / $227.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.90 / $227.49 / $250.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $216.38 / $216.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.11 / $254.57 / $262.20