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Arkansas rates for HCPCS L5845

Addition, endoskeletal knee-shin system, stance flexion feature, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.08 / $1,209.08 / $1,209.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.06 / $1,209.08 / $1,209.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.25 / $1,740.25 / $1,740.25
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
$1,877.91 / $2,485.46 / $2,761.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,111.91 / $2,111.91 / $2,175.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,111.91 / $2,111.91 / $2,111.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.83 / $1,207.83 / $1,740.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.72 / $1,207.83 / $1,699.46
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.29 / $2,001.29 / $2,001.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.55 / $1,055.55 / $1,055.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.89 / $1,085.24 / $1,453.47