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Arkansas rates for HCPCS L1840

Knee Orthosis Derotation Medial-Lateral Anterior Cruciate Ligament Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.46 / $707.46 / $707.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.93 / $707.46 / $707.46
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
$1,098.81 / $1,454.30 / $1,615.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.40 / $1,129.40 / $1,164.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.90 / $1,164.90 / $1,164.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $732.96 / $1,018.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $956.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.99 / $1,173.99 / $1,381.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.53 / $573.35 / $765.23