go back

Arkansas rates for HCPCS L5200

Above Knee Molded Socket Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,525.92 / $2,525.92 / $2,525.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.24 / $2,525.92 / $2,525.92
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
$3,923.16 / $5,192.42 / $5,769.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,993.44 / $3,993.44 / $4,390.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,993.44 / $3,993.44 / $3,993.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,728.17 / $2,728.17 / $3,635.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $1,991.56 / $3,415.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.72 / $2,267.19 / $3,048.16