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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
$58.76 / $58.76 / $58.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.58 / $58.76 / $58.76
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
$91.26 / $120.79 / $134.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.54 / $95.54 / $101.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.50 / $101.50 / $101.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $84.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $61.81 / $82.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.31 / $49.15 / $75.59