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Arkansas rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,479.11 / $2,454.71
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
$2,951.21 / $2,951.21 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,258.93 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,235.94 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,621.81 / $2,137.96