go back

Arkansas rates for HCPCS L1950

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Custom-Fabricated. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.00 / $468.00 / $468.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.67 / $468.00 / $486.90
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
$726.88 / $962.05 / $1,068.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.14 / $839.14 / $883.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.21 / $883.21 / $883.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $673.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $524.34 / $657.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.08 / $391.72 / $531.16