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Arkansas rates for HCPCS Q4137

AmnioExcel, AmnioExcel Plus or BioDExcel, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.06 / $122.06 / $126.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $106.80 / $122.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.26 / $109.26 / $109.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.04 / $109.26 / $109.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.96 / $101.72 / $101.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $110.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.63 / $101.72 / $115.96