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Arkansas rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.86 / $60.86 / $60.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $53.25 / $60.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.27 / $49.27 / $49.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $49.27 / $56.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.84 / $50.71 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $55.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.65 / $50.72 / $57.82