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Arkansas rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.66 / $291.66 / $291.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.98 / $291.66 / $291.66
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
$452.99 / $599.54 / $666.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $494.00 / $531.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.00 / $494.00 / $494.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.54 / $387.54 / $419.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $387.54 / $409.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.30 / $244.25 / $332.24