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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
$365.06 / $365.06 / $365.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.19 / $365.06 / $365.06
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
$566.99 / $750.43 / $833.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.54 / $614.54 / $614.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.54 / $614.54 / $614.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $525.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $513.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.49 / $696.49 / $819.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.40 / $327.67 / $472.45