go back

Arkansas rates for HCPCS L2768

Orthotic Side Bar Disconnect Device, Per Bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.71 / $87.71 / $87.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $87.71 / $87.71
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
$136.19 / $180.27 / $200.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.19 / $153.19 / $157.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.19 / $153.19 / $153.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $126.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $99.06 / $123.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.64 / $71.09 / $94.88