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Arkansas rates for HCPCS Q4108

Integra matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.25 / $46.25 / $46.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $40.47 / $46.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.29 / $53.29 / $53.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.38 / $53.29 / $53.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.42 / $38.54 / $38.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $41.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $38.54 / $43.94