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Arkansas rates for HCPCS L5642

Addition To Lower Extremity Above Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.28 / $426.28 / $426.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.47 / $426.28 / $426.28
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
$662.10 / $876.30 / $973.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.63 / $743.63 / $746.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.91 / $746.91 / $746.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.41 / $530.41 / $613.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $576.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.32 / $382.62 / $558.96