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Arkansas rates for HCPCS L6930

Below elbow, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.60 / $5,248.60 / $5,248.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,451.72 / $5,248.60 / $5,248.60
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
$8,151.93 / $10,789.32 / $11,988.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,059.76 / $8,059.76 / $8,752.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,752.37 / $8,752.37 / $8,752.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.68 / $6,300.68 / $7,554.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $6,300.68 / $7,377.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,680.62 / $4,710.99 / $6,153.10