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Arkansas rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.47 / $190.47 / $190.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.79 / $190.47 / $190.47
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
$295.83 / $391.55 / $435.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.74 / $332.74 / $342.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.74 / $332.74 / $332.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $274.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $220.51 / $267.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.93 / $170.96 / $230.38