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Arkansas rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.65 / $67.65 / $67.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.42 / $67.65 / $67.65
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
$105.05 / $139.04 / $154.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.15 / $118.15 / $121.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.15 / $118.15 / $118.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $97.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $95.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.57 / $56.62 / $81.31