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Arkansas rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $54.95 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $52.48 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $67.61 / $70.79
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
$64.57 / $64.57 / $85.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $104.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $67.61 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $48.98 / $67.61
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $128.82 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $46.77 / $63.10