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Arkansas rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.10 / $29.10 / $29.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $29.10 / $29.10
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
$45.20 / $59.82 / $66.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.84 / $50.84 / $52.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $50.84 / $50.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.33 / $36.33 / $41.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $26.52 / $39.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $23.01 / $23.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $23.59 / $31.55