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Arkansas rates for HCPCS L5728

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.13 / $1,653.13 / $1,653.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.10 / $1,653.13 / $1,653.13
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
$2,567.58 / $3,398.27 / $3,775.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,855.97 / $2,855.97 / $2,963.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,963.80 / $2,963.80 / $2,963.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,379.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $2,235.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.88 / $1,483.80 / $2,195.59