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Arkansas rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $33.11 / $51.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $33.11 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $70.79 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $30.90 / $46.77