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Arkansas rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.66 / $226.66 / $226.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $226.66 / $226.66
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
$352.04 / $465.94 / $517.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.85 / $393.85 / $393.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.85 / $393.85 / $393.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $326.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $246.10 / $318.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.99 / $194.74 / $249.31