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Arkansas rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $602.56 / $660.69
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
$691.83 / $691.83 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $338.84 / $457.09
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $707.95 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $380.19 / $478.63