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Arkansas rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.45 / $322.45 / $322.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.35 / $322.45 / $322.45
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
$500.84 / $662.88 / $736.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.12 / $435.12 / $509.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.60 / $509.60 / $509.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $464.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $435.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.72 / $286.86 / $348.10