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Arkansas rates for HCPCS L5840

Addition Endoskeletal Knee/Shin System 4-Bar Linkage Or Multiaxial Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,340.40 / $2,340.40 / $2,340.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,803.47 / $2,340.40 / $2,340.40
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
$3,635.01 / $4,811.04 / $5,345.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,211.10 / $4,211.10 / $4,396.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,396.20 / $4,396.20 / $4,396.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $3,364.97 / $3,368.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $3,289.60 / $3,364.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.02 / $2,100.67 / $3,127.45