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Arkansas rates for HCPCS L5701

Replacement Socket Above Knee/Knee Disarticulation Including Attachment Plate Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,295.27 / $2,295.27 / $2,295.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.69 / $2,295.27 / $2,295.27
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
$3,564.93 / $4,718.30 / $5,242.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,129.89 / $4,129.89 / $4,289.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,289.72 / $4,289.72 / $4,289.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.04 / $2,550.04 / $3,303.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.53 / $2,550.04 / $3,226.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,625.10 / $4,625.10 / $5,441.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.30 / $2,060.17 / $3,137.34