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Arkansas rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.22 / $423.22 / $423.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.02 / $423.22 / $423.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.15 / $609.15 / $609.15
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
$657.34 / $870.00 / $966.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.49 / $705.49 / $761.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.49 / $705.49 / $705.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $609.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $448.56 / $594.87
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.52 / $700.52 / $700.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.64 / $379.87 / $542.36