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Arkansas rates for HCPCS L6696

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.32 / $887.32 / $887.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.48 / $887.32 / $887.32
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
$1,378.15 / $1,824.02 / $2,026.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.90 / $1,549.90 / $1,596.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.90 / $1,549.90 / $1,549.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.63 / $886.63 / $1,277.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.24 / $886.63 / $1,247.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.92 / $796.43 / $1,066.68