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Arkansas rates for HCPCS L5656

Addition To Lower Extremity Socket Insert Knee Disarticulation (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.59 / $253.59 / $253.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.80 / $253.59 / $253.59
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
$393.87 / $521.29 / $579.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.52 / $452.52 / $474.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.76 / $474.76 / $474.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $335.84 / $364.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $342.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.74 / $227.61 / $343.54