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Arkansas rates for HCPCS Q4194

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.35 / $796.35 / $796.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $696.81 / $796.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.72 / $778.72 / $778.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.51 / $778.72 / $778.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.05 / $663.63 / $663.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $719.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $756.54