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Arkansas rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $10,000.00 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $16,982.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $9,332.54 / $12,882.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $21,877.62 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $10,232.93 / $14,454.40