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Arkansas rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.22 / $103.22 / $103.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.79 / $100.79 / $103.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.19 / $101.19 / $101.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $101.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.65 / $7.65 / $7.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $11.82 / $11.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $103.22