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Arkansas rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.09 / $1,049.09 / $1,049.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.77 / $1,049.09 / $1,055.79
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
$1,629.42 / $2,156.59 / $2,396.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,002.40 / $2,002.40 / $2,273.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,002.40 / $2,002.40 / $2,002.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $1,509.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $1,179.40 / $1,474.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.76 / $877.59 / $1,194.76