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Arkansas rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.41 / $205.41 / $205.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.11 / $205.41 / $205.41
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
$319.02 / $422.24 / $469.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.55 / $369.55 / $369.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.55 / $369.55 / $369.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $295.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $230.92 / $288.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.91 / $182.72 / $246.93