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Arkansas rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.84 / $1,074.84 / $1,074.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.18 / $1,074.84 / $1,074.84
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
$1,669.41 / $2,209.52 / $2,455.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,933.80 / $1,933.80 / $1,933.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.80 / $1,933.80 / $1,933.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,547.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $1,510.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.16 / $964.75 / $1,486.65