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Arkansas rates for HCPCS L5341

Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,032.66 / $4,032.66 / $4,032.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,659.57 / $4,032.66 / $4,032.66
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
$6,263.38 / $8,289.77 / $9,210.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,065.98 / $6,065.98 / $6,347.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,065.98 / $6,065.98 / $6,065.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $5,804.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $3,790.37 / $5,668.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,017.50 / $3,619.60 / $4,663.35