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Arkansas rates for HCPCS Q4110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.54 / $78.48 / $78.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $68.68 / $78.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.95 / $70.95 / $70.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.87 / $70.95 / $70.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.45 / $65.40 / $65.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $65.40 / $70.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.18 / $65.41 / $75.22