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Arkansas rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $354.81 / $588.84
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
$562.34 / $562.34 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $707.95 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $316.23 / $467.74