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Arkansas rates for HCPCS L5925

Addition, endoskeletal system, above knee (AK), knee disarticulation or hip disarticulation, manual lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.88 / $298.88 / $298.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.51 / $298.88 / $298.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.18 / $430.18 / $430.18
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
$464.21 / $614.39 / $682.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.29 / $403.29 / $537.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.29 / $403.29 / $403.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $430.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $260.88 / $420.10
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.71 / $494.71 / $494.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $268.26 / $323.27