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Arkansas rates for HCPCS L6628

Upper extremity addition, quick disconnect hook adapter, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.36 / $344.36 / $344.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.24 / $344.36 / $344.36
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
$534.84 / $707.88 / $786.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.98 / $574.98 / $658.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.25 / $658.25 / $658.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.49 / $444.49 / $495.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.48 / $444.49 / $484.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $108.00 / $108.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.23 / $309.08 / $442.02