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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
$474.48 / $474.48 / $474.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.64 / $474.48 / $474.48
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
$736.95 / $975.38 / $1,083.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.62 / $657.62 / $657.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.62 / $657.62 / $657.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $682.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $666.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.72 / $425.88 / $513.22