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Arkansas rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.50 / $10.50 / $10.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $10.50 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $15.11 / $15.11
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
$16.30 / $21.59 / $23.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.85 / $20.85 / $22.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $20.85 / $20.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $15.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.44 / $14.76
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $9.43 / $14.52