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Arkansas rates for HCPCS L1830

Knee Orthosis Immobilizer Canvas Longitudinal Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.77 / $54.78 / $349.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.84 / $54.78 / $59.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.50 / $69.50 / $69.50
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
$64.54 / $85.42 / $94.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.89 / $75.20 / $86.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $75.20 / $97.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.16 / $67.14 / $76.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $74.06
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.93 / $79.93 / $79.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $46.98 / $66.28