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Arkansas rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $169.82 / $275.42
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
$309.03 / $309.03 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $169.82 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $371.54 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $245.47