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Arkansas rates for HCPCS L5638

Addition To Lower Extremity Below Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.74 / $336.74 / $336.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.68 / $336.74 / $336.74
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
$523.00 / $692.21 / $769.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.11 / $584.11 / $604.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.11 / $584.11 / $584.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.66 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.24 / $367.78 / $503.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.27 / $302.24 / $462.17