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Arkansas rates for HCPCS L5718

Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $524.81 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,258.93 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $549.54 / $831.76