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Arkansas rates for HCPCS L1300

Other Scoliosis Procedure, Body Jacket Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.69 / $1,205.69 / $1,205.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.71 / $1,205.69 / $1,205.69
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
$1,872.63 / $2,478.48 / $2,753.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,881.89 / $1,881.89 / $2,075.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.11 / $2,075.11 / $2,075.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $1,735.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $1,277.46 / $1,694.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.90 / $977.12 / $1,304.14