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Arkansas rates for HCPCS Q4106

Dermagraft, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.20 / $38.20 / $43.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $37.29 / $38.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.76 / $48.76 / $48.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.64 / $48.76 / $48.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $58.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $44.94 / $48.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $50.94 / $51.96