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Arkansas rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.57 / $57.57 / $57.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $57.57 / $60.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.43 / $82.86 / $82.86
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
$89.41 / $118.33 / $131.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.76 / $118.46 / $118.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.76 / $112.76 / $154.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $82.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $68.22 / $80.91
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.98 / $95.29 / $95.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.50 / $48.18 / $67.73