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Arkansas rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.11 / $106.11 / $106.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $106.11 / $106.11
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
$164.80 / $218.12 / $242.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.90 / $190.90 / $194.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.90 / $190.90 / $190.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $119.29 / $152.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $143.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.49 / $91.00 / $127.56