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Arkansas rates for HCPCS L1650

Hip orthosis (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.80 / $152.80 / $152.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.51 / $152.80 / $156.65
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
$237.32 / $314.10 / $349.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.68 / $275.68 / $294.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.07 / $294.07 / $294.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.78 / $190.78 / $219.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $190.78 / $214.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $128.97 / $175.42