go back

Arkansas rates for HCPCS L5105

Below Knee, Plastic Socket, Joints And Thigh Lacer, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,317.54 / $2,317.54 / $2,317.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,785.69 / $2,317.54 / $2,317.54
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
$3,599.53 / $4,764.08 / $5,293.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,169.58 / $4,169.58 / $4,554.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,554.43 / $4,554.43 / $4,554.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.81 / $3,006.81 / $3,335.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $3,006.81 / $3,257.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.78 / $2,080.16 / $3,134.16