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Arkansas rates for HCPCS L2350

Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.55 / $594.55 / $594.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.92 / $594.55 / $594.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.75 / $855.75 / $855.75
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
$923.45 / $1,222.21 / $1,358.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.85 / $1,003.85 / $1,120.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.08 / $1,120.08 / $1,120.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.26 / $627.26 / $855.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.90 / $457.90 / $803.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.87 / $496.34 / $500.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.87 / $497.64 / $675.14