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Arkansas rates for HCPCS Q4196

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.24 / $121.24 / $145.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $117.20 / $127.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.90 / $106.90 / $106.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.90 / $106.90 / $109.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.31 / $101.03 / $101.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $109.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.98 / $101.03 / $115.17