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Arkansas rates for HCPCS L5520

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.14 / $1,279.14 / $1,279.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.19 / $1,279.14 / $1,279.14
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
$1,986.71 / $2,629.47 / $2,921.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,726.01 / $1,726.01 / $1,726.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.01 / $1,726.01 / $1,726.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $1,232.72 / $1,841.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $1,232.72 / $1,797.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.05 / $1,137.88 / $1,383.58