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Arkansas rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.27 / $626.27 / $626.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.59 / $626.27 / $626.27
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
$972.71 / $1,287.41 / $1,430.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.84 / $1,126.84 / $1,260.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.77 / $1,260.77 / $1,260.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.41 / $957.73 / $957.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.41 / $880.28 / $957.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.80 / $562.13 / $822.21