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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
$355.12 / $355.12 / $355.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.08 / $355.12 / $355.12
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
$551.55 / $730.01 / $811.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.26 / $572.26 / $683.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.45 / $683.45 / $683.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.58 / $493.58 / $511.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.31 / $493.58 / $499.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.55 / $648.55 / $763.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.50 / $318.75 / $436.88