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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
$328.68 / $426.58 / $445.32
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
$662.55 / $876.91 / $974.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.47 / $767.47 / $834.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.29 / $834.29 / $834.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $572.20 / $613.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $572.20 / $599.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.26 / $382.88 / $590.01