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Arkansas rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.02 / $256.02 / $256.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.13 / $256.02 / $256.02
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
$397.66 / $526.30 / $584.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.48 / $345.48 / $386.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.59 / $386.59 / $386.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $368.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $359.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $191.35 / $276.38