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Arkansas rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,180.83 / $3,180.83 / $3,180.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.06 / $3,180.83 / $3,180.83
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
$4,940.35 / $6,538.70 / $7,265.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,460.46 / $5,460.46 / $5,517.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,460.46 / $5,460.46 / $5,460.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $4,578.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $3,728.42 / $4,470.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.34 / $2,855.02 / $4,064.11