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Arkansas rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.63 / $103.63 / $103.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.14 / $103.63 / $103.63
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
$160.94 / $213.02 / $236.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.78 / $204.78 / $217.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.41 / $217.41 / $217.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $149.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $116.50 / $145.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $92.18 / $93.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $88.87 / $125.39