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Arkansas rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.35 / $957.35 / $957.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.17 / $957.35 / $957.35
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
$1,486.91 / $1,967.97 / $2,186.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.50 / $1,541.50 / $1,541.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.50 / $1,541.50 / $1,541.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $1,377.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $963.22 / $1,345.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.69 / $859.28 / $1,176.83