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Arkansas rates for HCPCS A2011

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $125.89 / $125.89