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Arkansas rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.28 / $158.28 / $158.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $138.49 / $158.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.99 / $154.99 / $154.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.69 / $154.99 / $154.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.43 / $131.90 / $131.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $143.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.35 / $131.90 / $151.69