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Arkansas rates for HCPCS L5724

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.62 / $1,342.62 / $1,342.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.87 / $1,342.62 / $1,342.62
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
$2,085.30 / $2,759.96 / $3,066.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,811.66 / $1,811.66 / $1,811.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.66 / $1,811.66 / $1,811.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.13 / $1,349.13 / $1,932.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.86 / $984.86 / $1,815.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.54 / $1,205.08 / $1,449.33