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Arkansas rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,288.25
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
$1,659.59 / $1,659.59 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,995.26 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $870.96 / $1,174.90