go back

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
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $95.50 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $87.10 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $218.78 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $91.20 / $125.89