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Arkansas rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.93 / $198.93 / $198.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.27 / $198.93 / $198.93
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
$308.95 / $408.92 / $454.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.90 / $357.90 / $453.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.53 / $453.53 / $453.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.32 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.17 / $279.61 / $297.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $178.55 / $275.14