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Arkansas rates for HCPCS L5647

Addition To Lower Extremity Below Knee Suction Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.66 / $530.66 / $530.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.88 / $530.66 / $530.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.80 / $763.80 / $763.80
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
$824.21 / $1,090.86 / $1,212.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.75 / $954.75 / $954.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.75 / $954.75 / $954.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $763.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $717.49
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.37 / $878.37 / $878.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.99 / $629.41 / $635.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.54 / $476.31 / $733.98