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Arkansas rates for HCPCS L7400

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.74 / $206.74 / $206.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $206.74 / $206.74
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
$321.12 / $425.01 / $472.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.13 / $361.13 / $372.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.13 / $361.13 / $361.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $239.35 / $297.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $174.73 / $279.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $185.57 / $248.53