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Arkansas rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.05 / $1,998.05 / $1,998.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.66 / $1,998.05 / $1,998.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,875.82 / $2,875.82 / $2,875.82
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
$3,103.30 / $4,107.31 / $4,563.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,595.12 / $3,595.12 / $3,846.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,846.56 / $3,846.56 / $3,846.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $2,875.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $2,160.07 / $2,808.42
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,307.19 / $3,307.19 / $3,307.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.74 / $1,793.39 / $2,639.52