go back

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
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $269.15 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
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
$524.81 / $524.81 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $245.47 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $602.56 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $288.40 / $398.11