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Adhesion Barrier

Arkansas rates for HCPCS C1765

Adhesion barrier

Rates data updated October 2026.

How much rates vary

Facilitymedian $269 · 10th to 90th $269 to $269Professionalmedian $269 · 10th to 90th $269 to $269
$5$10$20$50$100$200facility $269professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$302.00