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Arkansas rates for HCPCS L5698

Addition to lower extremity, above knee (AK) or knee disarticulation, Silesian bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.84 / $79.84 / $79.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.48 / $79.84 / $79.84
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
$124.00 / $164.12 / $182.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.12 / $126.12 / $157.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.12 / $126.12 / $126.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $114.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $107.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.54 / $82.54 / $114.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.78 / $71.66 / $96.25