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Arkansas rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.93 / $216.93 / $216.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.26 / $216.93 / $216.93
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
$336.92 / $445.92 / $495.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.93 / $303.93 / $340.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.93 / $303.93 / $303.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $312.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $189.91 / $304.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.78 / $179.43 / $260.79