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Arkansas rates for HCPCS E1230

Power Operated Vehicle (Three Or Four Wheel Nonhighway) Specify Brand Name And Model Number (Special Coverage Instructions Apply. See Cim: 60-5 And Mcm: 4107.6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.67 / $1,654.67 / $1,654.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,728.13 / $3,610.76 / $4,011.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.81 / $2,349.31 / $3,160.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.81 / $2,349.31 / $3,132.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,662.03 / $1,786.79 / $1,786.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.77 / $1,786.79 / $2,345.16
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,300.00 / $2,300.00 / $2,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.40 / $1,469.33 / $2,102.88