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Arkansas rates for HCPCS A5114

Leg strap; foam or fabric, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.08 / $10.08 / $10.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $10.08 / $10.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $14.28 / $15.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.63 / $10.63 / $10.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.63 / $10.63 / $10.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $7.51 / $7.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $7.51 / $8.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $5.81 / $7.51