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Arkansas rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.18 / $2,780.18 / $2,780.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.43 / $2,780.18 / $2,780.18
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
$4,318.07 / $5,715.10 / $6,350.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.92 / $4,565.92 / $4,565.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,565.92 / $4,565.92 / $4,565.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.06 / $2,853.06 / $4,001.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,853.06 / $3,907.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.59 / $2,495.41 / $3,510.16