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Arkansas rates for HCPCS L5690

Addition to lower extremity, below knee (BK), waist belt, padded and lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.97 / $71.97 / $71.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.30 / $71.97 / $71.97
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
$111.79 / $147.94 / $164.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.45 / $117.45 / $141.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.96 / $141.96 / $141.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $103.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $97.44 / $101.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.11 / $133.11 / $156.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $64.59 / $90.29