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Arkansas rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.60 / $381.60 / $381.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $333.90 / $381.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.00 / $345.00 / $345.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.83 / $345.00 / $345.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $318.00 / $318.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $345.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.10 / $318.00 / $362.52