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Arkansas rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.38 / $15.38 / $15.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $15.38 / $16.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.74 / $25.93 / $27.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.47 / $13.47 / $13.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $9.11 / $20.35