go back

Arkansas rates for HCPCS L4130

Replace Pretibial Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.08 / $362.08 / $362.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.24 / $362.08 / $362.08
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
$562.37 / $744.32 / $827.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.22 / $569.22 / $657.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.22 / $569.22 / $569.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $521.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $373.57 / $508.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.85 / $276.36 / $278.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $293.44 / $391.64