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Arkansas rates for HCPCS L5699

All lower extremity prostheses, shoulder harness

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.39 / $124.39 / $124.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.35 / $124.39 / $124.39
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
$193.19 / $255.69 / $284.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.79 / $223.79 / $283.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.79 / $223.79 / $223.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.96 / $169.96 / $179.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.07 / $124.07 / $169.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.43 / $111.65 / $172.04