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Arkansas rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.51 / $448.51 / $448.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.82 / $448.51 / $448.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.54 / $645.54 / $645.54
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
$696.60 / $921.97 / $1,024.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.74 / $683.74 / $687.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.71 / $687.71 / $687.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $645.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $427.25 / $630.41
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.37 / $742.37 / $742.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.41 / $402.56 / $525.65