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Arkansas rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $35.90 / $35.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.74 / $35.90 / $35.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.69 / $51.69 / $51.69
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
$55.78 / $73.83 / $82.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.77 / $57.77 / $57.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.77 / $57.77 / $57.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $51.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $37.36 / $50.48
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.44 / $59.44 / $59.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $32.22 / $44.41