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Arkansas rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,177.52 / $2,177.52 / $2,177.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.61 / $2,177.52 / $2,177.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,382.04 / $4,476.22 / $4,973.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.29 / $3,774.58 / $4,067.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.91 / $3,863.87 / $4,067.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,134.13 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,355.32 / $3,060.67 / $3,214.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.11 / $1,954.48 / $2,780.96