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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
$1,074.11 / $1,074.11 / $1,074.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.69 / $1,074.11 / $1,074.11
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
$1,668.28 / $2,208.02 / $2,453.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.43 / $1,720.43 / $1,948.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.43 / $1,720.43 / $1,720.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $1,545.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $1,509.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.20 / $891.38 / $1,161.82