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Arkansas rates for HCPCS L5653

Addition To Lower Extremity Knee Disarticulation Expandable Wall Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.43 / $397.43 / $397.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.16 / $397.43 / $397.43
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
$617.28 / $816.98 / $907.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.54 / $698.54 / $698.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.54 / $698.54 / $698.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.76 / $555.76 / $572.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $555.76 / $558.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.33 / $356.72 / $525.07