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Arkansas rates for HCPCS Q4132

Grafix Core and GrafixPL Core, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.04 / $128.04 / $1,699.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $112.04 / $128.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.75 / $96.75 / $96.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.92 / $96.75 / $96.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.66 / $106.70 / $106.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $115.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.37 / $106.70 / $121.64