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Arkansas rates for HCPCS L5652

Addition to lower extremity, suction suspension, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.32 / $339.32 / $339.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.11 / $339.32 / $339.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.40 / $488.40 / $488.40
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
$527.03 / $697.55 / $775.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.28 / $523.28 / $523.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.28 / $523.28 / $523.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $488.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $338.50 / $476.95
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.66 / $561.66 / $561.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.04 / $304.57 / $393.34