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Arkansas rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $50.72 / $50.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.89 / $50.72 / $50.72
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
$78.78 / $104.27 / $115.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.55 / $88.55 / $91.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.55 / $88.55 / $88.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $73.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $50.66 / $71.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.96 / $45.53 / $60.97