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Arkansas rates for HCPCS L6615

Upper Extremity Addition Disconnect Locking Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.52 / $129.52 / $129.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.99 / $129.52 / $129.52
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
$201.17 / $266.26 / $295.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $230.01 / $246.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.41 / $246.41 / $246.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.58 / $175.58 / $186.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $175.58 / $182.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $116.26 / $156.72