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Arkansas rates for HCPCS L5722

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.07 / $607.07 / $607.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.59 / $607.07 / $607.07
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
$942.89 / $1,247.95 / $1,386.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.99 / $1,140.99 / $1,155.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.99 / $1,140.99 / $1,140.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.78 / $875.29 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $853.30 / $875.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.42 / $544.89 / $833.09