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Arkansas rates for HCPCS L5971

All lower extremity prostheses, solid ankle cushion heel (SACH) foot, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.84 / $151.84 / $151.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.39 / $151.84 / $151.84
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
$235.83 / $312.13 / $346.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.76 / $243.76 / $263.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.49 / $263.49 / $263.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.21 / $159.21 / $218.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $159.21 / $213.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $136.29 / $187.40