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Arkansas rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.42 / $449.42 / $449.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.91 / $449.42 / $449.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.86 / $646.86 / $646.86
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
$698.03 / $923.86 / $1,026.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.20 / $635.20 / $668.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.95 / $668.95 / $668.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $646.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $607.65
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.89 / $743.89 / $743.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.70 / $399.79 / $485.15