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Arkansas rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $50.12 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $44.67 / $61.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $109.65 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $47.86 / $63.10