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Arkansas rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.12 / $796.12 / $796.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.41 / $796.12 / $796.12
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
$1,236.50 / $1,636.54 / $1,818.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,432.32 / $1,432.32 / $1,627.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.83 / $1,627.83 / $1,627.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $895.00 / $1,145.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $895.00 / $1,119.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.38 / $714.57 / $1,101.13