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Arkansas rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.96 / $23.96 / $23.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $20.97 / $23.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.62 / $22.62 / $22.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $22.62 / $22.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $21.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $19.97 / $22.77