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Arkansas rates for HCPCS L1755

Legg Perthes orthosis, (Patten bottom type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.40 / $991.40 / $991.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.92 / $991.40 / $991.40
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
$1,539.81 / $2,037.99 / $2,264.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.27 / $1,858.27 / $2,023.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,023.44 / $2,023.44 / $2,023.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $1,426.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $1,395.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.24 / $850.18 / $1,191.80