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Arkansas rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.86 / $15.86 / $15.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $15.86 / $15.86
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
$24.63 / $32.60 / $36.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.67 / $27.67 / $28.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $27.67 / $27.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $22.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $22.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $12.85 / $17.14