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Arkansas rates for HCPCS L1906

Ankle Foot Orthosis Multiligamentous Ankle Support Prefabricated Off-The-Shelf (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.31 / $75.31 / $75.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.55 / $75.31 / $81.37
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
$116.96 / $154.80 / $172.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.49 / $135.49 / $154.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.49 / $135.49 / $135.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $108.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $86.88 / $105.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.06 / $66.98 / $90.53