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Arkansas rates for HCPCS L5631

Addition to lower extremity, above knee (AK) or knee disarticulation, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.82 / $390.82 / $390.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.85 / $390.82 / $390.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.52 / $562.52 / $562.52
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
$607.02 / $803.40 / $892.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.36 / $527.36 / $644.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.15 / $644.15 / $644.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $562.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $329.53 / $549.34
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.90 / $646.90 / $646.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.40 / $347.66 / $421.89