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Arkansas rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.77 / $624.77 / $624.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.40 / $624.77 / $624.77
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
$970.37 / $1,284.32 / $1,427.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.06 / $1,124.06 / $1,263.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.69 / $1,263.69 / $1,263.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $899.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $878.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.85 / $560.78 / $864.14