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Arkansas rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $744.93 / $762.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.40 / $1,100.00 / $1,100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.00 / $1,100.00 / $1,100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.83 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.75 / $1,997.50 / $2,057.42