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Arkansas rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.72 / $664.72 / $664.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $581.63 / $664.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.37 / $211.37 / $211.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.37 / $211.37 / $257.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.58 / $553.94 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $600.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.55 / $553.94 / $631.49