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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
$489.78 / $489.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $416.87 / $676.08
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
$758.58 / $758.58 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $457.09 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $912.01 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $416.87 / $602.56