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Arkansas rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.57 / $11.57 / $11.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $11.57 / $11.57
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
$17.97 / $23.79 / $26.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.18 / $20.18 / $20.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.18 / $20.18 / $20.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $16.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $16.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.10 / $9.11 / $9.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $9.38 / $13.91