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Arkansas rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.07 / $1,208.07 / $1,208.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.72 / $1,208.07 / $1,208.07
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
$1,876.34 / $2,483.39 / $2,759.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.12 / $1,630.12 / $1,633.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.12 / $1,630.12 / $1,630.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,738.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $1,633.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.16 / $1,074.66 / $1,306.71