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Arkansas rates for HCPCS L6675

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Single Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.23 / $83.23 / $83.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.73 / $83.23 / $83.23
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
$129.27 / $171.10 / $190.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.13 / $144.13 / $144.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.13 / $144.13 / $144.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $90.07 / $119.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $90.07 / $116.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $74.70 / $114.05