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Arkansas rates for HCPCS Q4101

Apligraf Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $36.28 / $41.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $31.74 / $36.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.88 / $32.88 / $32.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.51 / $32.88 / $32.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $30.23 / $48.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $32.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.72 / $30.23 / $34.46