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Arkansas rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.58 / $260.58 / $260.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.28 / $260.58 / $265.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.08 / $375.08 / $375.08
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
$404.75 / $535.70 / $595.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.37 / $442.37 / $485.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.22 / $485.22 / $485.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $345.03 / $375.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $345.03 / $366.29
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.34 / $431.34 / $431.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.13 / $218.72 / $297.52