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Arkansas rates for HCPCS L5930

Addition Endoskeletal System High Activity Knee Control Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,270.53 / $2,270.53 / $2,270.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.62 / $2,270.53 / $2,270.53
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
$3,526.50 / $4,667.43 / $5,186.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,965.99 / $3,965.99 / $4,085.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,965.99 / $3,965.99 / $3,965.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $3,267.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $3,069.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.02 / $2,037.96 / $2,746.00