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Arkansas rates for HCPCS L6638

Upper Extremity Addition To Prosthesis Electric Locking Feature Only For Use With Manually Powered Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,686.91 / $1,686.91 / $1,686.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.28 / $1,686.91 / $1,686.91
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
$2,620.05 / $3,467.72 / $3,853.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,946.56 / $2,946.56 / $3,035.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,946.56 / $2,946.56 / $2,946.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $2,427.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,952.91 / $2,371.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.96 / $1,514.12 / $2,027.88