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Arkansas rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $43.65 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $50.12 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $43.65 / $75.86