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Arkansas rates for HCPCS L6890

Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.99 / $122.99 / $122.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.43 / $122.99 / $122.99
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
$191.03 / $252.83 / $280.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.15 / $204.15 / $204.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.15 / $204.15 / $204.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.15 / $170.15 / $177.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $170.15 / $172.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $110.39 / $156.94