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Arkansas rates for HCPCS L5975

All lower extremity prostheses, combination single axis ankle and flexible keel foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.75 / $312.75 / $312.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.70 / $312.75 / $312.75
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
$485.74 / $642.89 / $714.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.23 / $546.23 / $562.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.23 / $546.23 / $546.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $362.03 / $450.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $362.03 / $439.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.28 / $280.70 / $375.95