go back

Arkansas rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.95 / $31.95 / $31.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $31.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.62 / $29.62 / $29.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.30 / $29.62 / $29.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $26.62 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $28.99