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Arkansas rates for HCPCS L5617

Addition To Lower Extremity Quick Change Self-Aligning Unit Above Knee Or Below Knee Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.42 / $377.42 / $377.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.83 / $377.42 / $377.42
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
$586.19 / $775.84 / $862.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.24 / $659.24 / $679.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.24 / $659.24 / $659.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $543.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $436.96 / $530.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.84 / $338.76 / $456.47