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Arkansas rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $371.54 / $588.84
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
$741.31 / $741.31 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $302.00 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $758.58 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $398.11 / $501.19