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Arkansas rates for HCPCS L5950

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.04 / $692.04 / $692.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.15 / $692.04 / $692.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.06 / $996.06 / $996.06
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
$1,074.83 / $1,422.58 / $1,580.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.35 / $941.35 / $1,017.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.08 / $1,017.08 / $1,017.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $583.49 / $996.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $583.49 / $972.70
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.47 / $1,145.47 / $1,145.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $466.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.58 / $621.15 / $747.04