go back

Arkansas rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.40 / $118.40 / $118.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $118.40 / $118.40
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
$183.90 / $243.40 / $270.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.60 / $175.60 / $175.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.60 / $175.60 / $175.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $170.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $113.00 / $166.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $106.28 / $135.00