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Arkansas rates for HCPCS L3520

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $21.40 / $21.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.96 / $21.40 / $21.40
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
$33.24 / $43.99 / $48.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $38.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $37.36 / $37.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $30.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $21.38 / $30.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $17.35 / $24.96