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Arkansas rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.09 / $1,098.09 / $1,098.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $960.84 / $1,098.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.08 / $708.08 / $708.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.62 / $708.08 / $708.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.29 / $915.09 / $915.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $992.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.58 / $915.09 / $1,043.20