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Arkansas rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.90 / $1,301.90 / $1,301.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.56 / $1,301.90 / $1,301.90
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
$2,022.08 / $2,676.29 / $2,973.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,274.06 / $2,274.06 / $2,342.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.06 / $2,274.06 / $2,274.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,873.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $1,760.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.24 / $1,055.08 / $1,408.20