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Arkansas rates for HCPCS L5613

Addition To Lower Extremity Endoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Hydraulic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,655.59 / $1,655.59 / $1,655.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.05 / $1,655.59 / $1,655.59
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
$2,571.39 / $3,403.31 / $3,781.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.43 / $2,941.43 / $3,023.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,941.43 / $2,941.43 / $2,941.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.78 / $1,902.78 / $2,382.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,902.78 / $2,327.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.30 / $1,486.01 / $2,261.29