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Arkansas rates for HCPCS L5540

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Laminated Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.12 / $1,420.12 / $1,420.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.36 / $1,420.12 / $1,420.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.00 / $2,044.00 / $2,044.00
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
$2,205.69 / $2,919.29 / $3,243.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,172.39 / $2,172.39 / $2,273.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,273.55 / $2,273.55 / $2,273.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $2,044.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $1,996.10
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,350.60 / $2,350.60 / $2,350.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.78 / $1,274.66 / $1,670.08