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Arkansas rates for HCPCS Q4188

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.10 / $585.10 / $585.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $511.97 / $585.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.99 / $528.99 / $528.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.92 / $528.99 / $528.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.99 / $487.59 / $487.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $528.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.83 / $487.59 / $555.85