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Arkansas rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.46 / $1,073.46 / $1,073.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.72 / $1,073.46 / $1,073.46
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
$1,667.27 / $2,206.67 / $2,451.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,935.02 / $1,935.02 / $2,035.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,035.70 / $2,035.70 / $2,035.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $1,545.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $1,206.80 / $1,508.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.34 / $954.91 / $1,298.90