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Arkansas rates for HCPCS L4205

Repair Of Orthotic Device Labor Component Per 15 Minutes (Special Coverage Instructions Apply. See Mcm: 2100.4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
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
$33.32 / $44.10 / $49.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.13 / $29.13 / $29.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.13 / $29.13 / $29.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.22 / $22.22 / $22.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $22.22 / $22.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $14.02 / $19.70