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Arkansas rates for HCPCS L5668

Addition To Lower Extremity Below Knee Molded Distal Cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.82 / $89.82 / $89.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $89.82 / $89.82
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
$139.52 / $184.65 / $205.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.93 / $121.93 / $135.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.93 / $121.93 / $121.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $89.19 / $129.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $89.19 / $126.26
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.68 / $148.68 / $148.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $79.90 / $97.15