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Arkansas rates for HCPCS Q4128

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.89 / $35.89 / $35.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $31.41 / $35.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $33.29 / $33.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.39 / $33.29 / $33.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.22 / $29.91 / $29.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $31.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $29.91 / $30.81