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Arkansas rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.93 / $154.93 / $154.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.77 / $154.93 / $154.93
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
$240.62 / $318.47 / $353.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.99 / $260.99 / $321.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.17 / $321.17 / $321.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.98 / $225.10 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $217.75 / $225.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.06 / $172.06 / $222.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $139.06 / $200.64