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Arkansas rates for HCPCS A4616

Tubing (Oxygen) Per Foot (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.06 / $0.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $519,999.48 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.17
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $6.90 / $10.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.04 / $0.06