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Arkansas rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $15.61 / $15.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $15.61 / $15.61
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
$24.24 / $32.09 / $35.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.73 / $25.73 / $27.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $22.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $16.30 / $21.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $14.01 / $19.34