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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
$5,248.07 / $5,248.07 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,168.69 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,570.88 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $9,332.54 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $4,466.84 / $6,165.95