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Arkansas rates for HCPCS L5220

Above Knee Short Prosthesis No Knee Joint (Stubbies) With Articulated Ankle/Foot Dynamically Aligned Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,345.59 / $2,345.59 / $2,345.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.80 / $2,345.59 / $2,345.59
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
$3,643.10 / $4,821.75 / $5,357.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,310.57 / $3,310.57 / $3,310.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,310.57 / $3,310.57 / $3,310.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.86 / $2,482.86 / $3,376.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.49 / $2,482.86 / $3,296.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.54 / $2,182.50 / $2,202.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.07 / $2,105.34 / $2,545.08