go back

Arkansas rates for HCPCS L5976

All Lower Extremity Prostheses Energy Storing Foot (Seattle Carbon Copy Ii Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.95 / $404.95 / $404.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.86 / $404.95 / $404.95
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
$628.96 / $832.45 / $924.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.17 / $672.17 / $672.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.17 / $672.17 / $672.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.01 / $420.01 / $582.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $420.01 / $569.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.56 / $363.47 / $516.74