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Arkansas rates for HCPCS L3500

Orthopedic Shoe Addition Insole Leather (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.71 / $19.71 / $19.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $19.71 / $19.71
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
$30.62 / $40.53 / $45.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $35.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $28.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $23.58 / $27.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.10 / $15.57 / $15.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $16.50 / $22.31