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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
$200.12 / $200.12 / $200.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.11 / $200.12 / $200.12
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
$310.82 / $411.38 / $457.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.53 / $349.53 / $360.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.53 / $349.53 / $349.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $288.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $231.66 / $281.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.40 / $179.62 / $240.47