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Arkansas rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.17 / $446.17 / $446.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.83 / $446.17 / $446.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.19 / $642.19 / $642.19
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
$692.99 / $917.19 / $1,019.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.04 / $602.04 / $602.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.04 / $602.04 / $602.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $642.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $382.03 / $627.14
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.52 / $738.52 / $738.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.24 / $396.90 / $481.64