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Arkansas rates for HCPCS L4000

Replace Girdle For Spinal Orthotic (Cervic-Thoracic-Lumbar-Sacor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.75 / $843.75 / $843.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.91 / $843.75 / $843.75
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
$1,310.49 / $1,734.47 / $1,927.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.68 / $1,469.68 / $1,550.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.87 / $1,550.87 / $1,550.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.58 / $897.58 / $1,214.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.23 / $655.23 / $1,140.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.27 / $957.27 / $957.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.75 / $710.24 / $966.08