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Arkansas rates for HCPCS L5530

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.92 / $1,321.92 / $1,321.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.84 / $1,321.92 / $1,321.92
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
$2,053.16 / $2,717.42 / $3,019.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.10 / $2,073.10 / $2,184.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,184.78 / $2,184.78 / $2,184.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.39 / $1,295.39 / $1,902.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $1,295.39 / $1,858.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.50 / $1,186.51 / $1,593.75