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Arkansas rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $51.23 / $51.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.40 / $51.23 / $51.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.73 / $73.73 / $73.73
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
$79.56 / $105.31 / $117.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.31 / $73.31 / $73.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $73.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $45.81 / $73.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $45.81 / $72.01
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.80 / $84.80 / $84.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $45.98 / $56.36