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Arkansas rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.73 / $80.73 / $80.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $70.64 / $80.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.94 / $71.94 / $71.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.02 / $71.94 / $71.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.47 / $67.27 / $67.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $72.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.91 / $67.27 / $76.69