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Arkansas rates for HCPCS Q4173

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.82 / $418.82 / $418.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $366.47 / $418.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.83 / $386.83 / $386.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.11 / $386.83 / $386.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.26 / $349.01 / $349.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $349.01 / $378.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.12 / $349.02 / $397.88