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Arkansas rates for HCPCS L5270

Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,576.40 / $3,576.40 / $3,576.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,655.20 / $3,576.40 / $3,576.40
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
$5,554.73 / $7,351.85 / $8,168.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,172.96 / $6,172.96 / $6,199.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,172.96 / $6,172.96 / $6,172.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $5,147.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $4,865.01 / $5,026.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.08 / $3,210.07 / $4,745.60