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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
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.13 / $19.05
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
$24.55 / $24.55 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $11.48 / $15.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $29.51 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $12.88 / $16.98