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Arkansas rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,893.71 / $1,893.71 / $1,893.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.92 / $1,893.71 / $1,893.71
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
$2,941.25 / $3,892.83 / $4,325.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,177.74 / $3,177.74 / $3,624.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,624.16 / $3,624.16 / $3,624.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $2,725.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,476.09 / $2,661.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.89 / $1,699.74 / $2,426.00