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Arkansas rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $323.59 / $398.11
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
$562.34 / $562.34 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $275.42 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $645.65 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $295.12 / $389.05