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Arkansas rates for HCPCS L7405

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.36 / $490.36 / $490.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.75 / $490.36 / $490.36
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
$761.62 / $1,008.03 / $1,120.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.52 / $856.52 / $882.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.52 / $856.52 / $856.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.54 / $624.54 / $705.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $624.54 / $689.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.73 / $440.14 / $598.48