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Arkansas rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,438.81 / $2,438.81 / $2,438.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.80 / $2,438.81 / $2,438.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,787.87 / $5,013.35 / $5,570.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,780.00 / $4,227.50 / $4,555.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.13 / $4,327.60 / $4,555.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,510.21 / $3,600.52 / $3,600.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,637.94 / $3,427.94 / $3,600.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.50 / $2,189.00 / $3,114.68