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Arkansas rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.05 / $96.05 / $96.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $84.04 / $96.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.84 / $86.84 / $86.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.06 / $86.84 / $86.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.51 / $80.04 / $80.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $86.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.64 / $80.04 / $92.05