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Arkansas rates for HCPCS L5830

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.34 / $1,389.34 / $1,389.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.37 / $1,389.34 / $1,389.34
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
$2,157.88 / $2,856.02 / $3,173.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.50 / $2,277.50 / $2,493.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,493.06 / $2,493.06 / $2,493.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $1,999.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,654.54 / $1,952.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.48 / $1,247.03 / $1,750.88