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Arkansas rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.29 / $229.29 / $229.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.31 / $229.29 / $229.29
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
$356.14 / $471.36 / $523.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.68 / $370.68 / $412.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.68 / $370.68 / $370.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $239.78 / $330.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $239.78 / $322.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.02 / $247.02 / $247.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.28 / $205.81 / $284.95