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Arkansas rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,893.13 / $3,893.13 / $3,893.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,634.87 / $3,893.13 / $3,893.13
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
$6,046.68 / $8,002.96 / $8,892.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,111.24 / $6,111.24 / $6,152.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,111.24 / $6,111.24 / $6,111.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $5,603.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $4,728.96 / $5,472.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,926.06 / $6,926.06 / $8,148.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.55 / $3,494.36 / $4,698.14