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Arkansas rates for HCPCS L1844

Knee Orthosis Single Upright Thigh And Calf With Adjustable Flexion And Extension Joint (Unicentric Or Polycentric) Medial-Lateral And Rotation Control With Or Without Varus/Valgus Adjustment Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.01 / $1,045.01 / $1,045.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.33 / $1,045.01 / $1,045.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.93 / $1,828.93 / $1,883.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.93 / $1,828.93 / $1,828.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.93 / $1,186.93 / $1,504.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $1,186.93 / $1,468.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.78 / $1,193.78 / $1,193.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.79 / $885.71 / $1,204.77