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Arkansas rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,022.64 / $13,803.84 / $22,387.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,877.62 / $21,877.62 / $23,442.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,118.86 / $25,118.86 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $23,988.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,964.78 / $11,748.98 / $16,218.10
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,915.35 / $26,915.35 / $26,915.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $30,199.52 / $35,481.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $13,803.84 / $19,952.62