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Arkansas rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,903.87 / $2,903.87 / $2,903.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,237.65 / $2,903.87 / $2,903.87
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
$4,510.18 / $5,969.37 / $6,632.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,224.89 / $5,224.89 / $5,406.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,406.56 / $5,406.56 / $5,406.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $4,179.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $3,926.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.35 / $2,606.42 / $4,008.86