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Arkansas rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $12.60 / $13.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.91 / $12.60 / $12.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.35 / $9.35 / $9.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $5.79 / $8.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.69 / $8.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $10.30 / $17.02