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Arkansas rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.96 / $747.96 / $747.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.30 / $747.96 / $747.96
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
$1,161.70 / $1,537.54 / $1,708.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.68 / $1,345.68 / $1,370.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.29 / $1,370.29 / $1,370.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $1,076.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $870.50 / $1,051.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.56 / $671.35 / $1,064.76