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Arkansas rates for HCPCS L5780

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.03 / $880.03 / $880.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.51 / $880.03 / $880.03
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
$1,366.81 / $1,809.01 / $2,010.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.17 / $1,374.17 / $1,429.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.00 / $1,429.00 / $1,429.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,036.33 / $1,266.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $1,036.33 / $1,236.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.04 / $789.88 / $1,056.42