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Arkansas rates for HCPCS L5590

Preparatory Above Knee - Knee Disarticulation Ischial Level 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
$1,848.32 / $1,848.32 / $1,848.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.67 / $1,848.32 / $1,848.32
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
$2,870.74 / $3,799.50 / $4,221.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,885.30 / $2,885.30 / $2,885.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,885.30 / $2,885.30 / $2,885.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,289.62 / $2,289.62 / $2,660.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.42 / $1,671.42 / $2,499.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.00 / $1,658.99 / $2,282.94