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Arkansas rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.08 / $14.08 / $14.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $14.08 / $14.95
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
$31.37 / $41.52 / $46.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $28.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $28.09 / $28.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $12.09 / $21.76