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Arkansas rates for HCPCS L3221

Orthopedic Footwear Mens Shoe Depth Inlay Each Covered By Medicare. Statute Reference: 1862a8)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.32 / $56.32 / $56.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.06 / $56.32 / $59.80
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
$119.95 / $158.76 / $176.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $69.84 / $69.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $48.36 / $93.09