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Arkansas rates for HCPCS Q4254

Novafix dl per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.05 / $427.05 / $427.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.88 / $412.82 / $427.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.01 / $369.31 / $369.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.31 / $369.31 / $369.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.00 / $408.00 / $408.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.00 / $480.00 / $489.60