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Arkansas rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.45 / $73.45 / $73.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.81 / $73.45 / $73.45
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
$114.10 / $151.01 / $167.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $134.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.75 / $134.75 / $134.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $105.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $73.42 / $103.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.08 / $59.54 / $86.20