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Arkansas rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.06 / $79.06 / $79.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $69.18 / $79.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.98 / $71.98 / $71.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.19 / $71.98 / $71.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $65.88 / $65.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $71.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.29 / $65.88 / $76.84