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Arkansas rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $104.71 / $186.21
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
$181.97 / $181.97 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $109.65 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $245.47 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $102.33 / $141.25