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Arkansas rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.70 / $40.70 / $40.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $35.61 / $40.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.79 / $36.79 / $36.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.20 / $36.79 / $36.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.00 / $33.92 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.53 / $33.92 / $34.60