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Arkansas rates for HCPCS L1850

Knee Orthosis Swedish Type Prefabricated Off- The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.44 / $208.44 / $208.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.36 / $208.44 / $208.44
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
$210.18 / $278.18 / $309.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.89 / $244.89 / $244.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.89 / $244.89 / $244.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.91 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $209.30 / $225.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.85 / $174.35 / $247.57