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Arkansas rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $630.96
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
$660.69 / $660.69 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $891.25 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $588.84