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Arkansas rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,505.25 / $2,505.25 / $2,505.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.31 / $2,505.25 / $2,505.25
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
$3,891.08 / $5,149.95 / $5,722.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,375.92 / $4,375.92 / $4,507.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,375.92 / $4,375.92 / $4,375.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $3,605.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $3,521.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.09 / $2,248.64 / $3,057.69