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Arkansas rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $10.00
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
$19.50 / $19.50 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $20.89 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.41 / $12.88