go back

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
$691.83 / $691.83 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $891.25 / $1,000.00
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
$1,071.52 / $1,071.52 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $426.58 / $588.84
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,071.52 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $575.44 / $724.44