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Arkansas rates for HCPCS L4387

Walking boot, nonpneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.73 / $106.74 / $228.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $106.74 / $155.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.59 / $153.63 / $153.63
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
$165.78 / $219.42 / $243.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.43 / $192.05 / $192.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.43 / $186.43 / $249.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.47 / $120.81 / $153.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $120.81 / $150.03
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.18 / $176.67 / $176.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.76 / $90.19 / $142.47