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Arkansas rates for HCPCS L5986

All lower extremity prostheses, multiaxial rotation unit (MCP or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.28 / $446.28 / $446.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.73 / $446.28 / $446.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.34 / $642.34 / $642.34
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
$693.15 / $917.41 / $1,019.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.58 / $760.58 / $764.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.61 / $764.61 / $764.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.34 / $663.31 / $663.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.70 / $627.29 / $663.31
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.69 / $738.69 / $738.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.96 / $400.57 / $584.71