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Arkansas rates for HCPCS Q4224

Human Health Factor 10 Amniotic Patch (HHF10-P), per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $117.49 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $125.89 / $125.89