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Arkansas rates for HCPCS Q4153

Dermavest And Plurivest Per Square Centimeter (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.51 / $165.51 / $165.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $144.82 / $165.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.82 / $117.82 / $117.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.82 / $117.82 / $132.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.12 / $137.93 / $137.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $143.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.14 / $137.93 / $157.24