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Arkansas rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.80 / $384.80 / $384.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.50 / $384.80 / $384.80
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
$597.66 / $791.03 / $878.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.31 / $692.31 / $692.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.31 / $692.31 / $692.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $553.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $540.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.41 / $456.41 / $553.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $345.39 / $520.39