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Arkansas rates for HCPCS L5705

Custom Shaped Protective Cover Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.87 / $638.87 / $638.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.31 / $638.87 / $638.87
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
$992.26 / $1,313.29 / $1,459.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.56 / $1,149.56 / $1,292.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.60 / $1,292.60 / $1,292.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.43 / $895.43 / $919.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $895.43 / $897.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.82 / $573.42 / $838.07