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Arkansas rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.65 / $222.65 / $222.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.85 / $222.65 / $222.65
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
$345.81 / $457.70 / $508.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.06 / $373.06 / $469.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.06 / $373.06 / $373.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $320.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $312.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.40 / $184.46 / $186.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $184.78 / $250.90