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Arkansas rates for HCPCS Q4121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.10 / $63.30 / $1,565.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $55.39 / $63.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $53.00 / $53.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $53.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.77 / $52.75 / $52.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $54.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.48 / $52.75 / $54.33