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Arkansas rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.22 / $320.22 / $320.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.63 / $320.22 / $320.22
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
$497.36 / $658.27 / $731.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.34 / $533.34 / $539.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.34 / $533.34 / $533.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $460.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $340.42 / $450.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.97 / $287.42 / $385.95