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Arkansas rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.37 / $412.37 / $412.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.66 / $412.37 / $412.37
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
$640.48 / $847.69 / $941.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.79 / $568.79 / $568.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.79 / $568.79 / $568.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.88 / $477.88 / $593.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $348.85 / $557.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.18 / $331.06 / $446.05