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Arkansas rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.58 / $630.58 / $630.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.02 / $630.58 / $630.58
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
$979.41 / $1,296.28 / $1,440.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.05 / $1,033.05 / $1,057.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.39 / $1,057.39 / $1,057.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.98 / $751.98 / $907.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.95 / $548.95 / $852.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.00 / $479.78 / $484.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.74 / $511.05 / $682.08