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Arkansas rates for HCPCS L4360

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.98 / $173.38 / $173.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.32 / $173.38 / $187.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.55 / $249.55 / $249.55
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
$269.29 / $356.42 / $396.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.94 / $331.43 / $346.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.66 / $346.66 / $430.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.69 / $194.92 / $249.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.29 / $194.92 / $243.70
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.98 / $286.98 / $286.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.75 / $154.24 / $208.43