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Arkansas rates for HCPCS Q4248

Dermacyte amniotic membrane allograft, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.24 / $666.24 / $666.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $582.96 / $666.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,064.31 / $3,064.31 / $3,064.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,902.66 / $3,064.31 / $3,064.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.78 / $555.20 / $555.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $602.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.68 / $555.20 / $710.66