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Arkansas rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.66 / $8.66 / $8.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $8.66 / $12.92
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
$19.55 / $25.88 / $28.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $28.65 / $28.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $7.44 / $13.15