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Arkansas rates for HCPCS L5677

Additions to lower extremity, below knee (BK), knee joints, polycentric, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.57 / $438.57 / $438.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.44 / $438.57 / $438.57
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
$681.17 / $901.55 / $1,001.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.78 / $591.78 / $591.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.78 / $591.78 / $591.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.78 / $400.78 / $631.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $400.78 / $616.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.82 / $390.14 / $473.42