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Arkansas rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.63 / $553.63 / $553.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $484.42 / $553.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.35 / $358.35 / $358.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.35 / $358.35 / $520.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.24 / $461.36 / $461.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $500.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $461.36 / $525.95