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Arkansas rates for HCPCS L7401

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $194.98 / $323.59
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
$363.08 / $363.08 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $194.98 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $426.58 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $199.53 / $281.84