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Arkansas rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $93.33 / $131.83
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
$181.97 / $181.97 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $72.44 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $186.21 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $100.00 / $125.89