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Arkansas rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $66.98 / $170.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.23 / $66.98 / $69.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.58 / $81.58 / $81.58
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
$71.62 / $94.80 / $105.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.45 / $83.45 / $95.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.45 / $83.45 / $108.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.76 / $84.97 / $87.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $84.97 / $87.14
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.82 / $93.82 / $93.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $56.59 / $75.45