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Arkansas rates for HCPCS L5990

Addition To Lower Extremity Prosthesis User Adjustable Heel Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.80 / $1,223.80 / $1,223.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.26 / $1,223.80 / $1,223.80
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
$1,900.75 / $2,515.69 / $2,795.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.66 / $2,137.66 / $2,202.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.66 / $2,137.66 / $2,137.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,761.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $1,654.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.37 / $2,217.37 / $2,608.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.72 / $1,098.44 / $1,471.18