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Arkansas rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $295.12 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $363.08 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $660.69 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $302.00 / $436.52