go back

Arkansas rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.28 / $230.28 / $230.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.09 / $230.28 / $230.28
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
$357.67 / $473.38 / $525.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.83 / $415.83 / $523.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.76 / $523.76 / $523.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $331.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $323.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.80 / $206.69 / $318.51