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Arkansas rates for HCPCS L3250

Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.74 / $142.74 / $142.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.15 / $142.74 / $151.57
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
$315.56 / $417.65 / $464.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.68 / $210.68 / $210.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.80 / $210.68 / $210.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.13 / $122.58 / $235.95