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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
$117.49 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $93.33 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $83.18 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $204.17 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $100.00 / $134.90