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Arkansas rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.29 / $1,793.29 / $1,793.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,569.13 / $1,793.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,673.19 / $1,673.19 / $1,673.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.74 / $1,673.19 / $1,673.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,368.94 / $1,494.41 / $1,494.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,621.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.97 / $1,494.41 / $1,703.63