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Arkansas rates for HCPCS L0984

Protective Body Sock Prefabricated Off-The- Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $38.02 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.72 / $54.72 / $54.72
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
$59.05 / $78.16 / $86.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.40 / $68.40 / $76.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.15 / $76.15 / $76.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $54.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $53.44
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.93 / $62.93 / $62.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $32.60 / $45.36