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Arkansas rates for HCPCS L1907

Afo Orthosis Supramalleolar With Straps With Orwithout Interface/Pads Custom Fabricated (Revised01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.84 / $378.84 / $378.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.42 / $378.84 / $378.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.26 / $545.26 / $545.27
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
$588.40 / $778.76 / $865.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.72 / $661.72 / $681.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.72 / $661.72 / $661.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $545.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $419.48 / $532.49
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.04 / $627.04 / $627.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.43 / $307.02 / $409.78