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Arkansas rates for HCPCS L8465

Prosthetic Shrinker Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.53 / $36.53 / $36.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.48 / $36.53 / $36.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $52.58 / $52.58
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
$56.75 / $75.11 / $83.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.81 / $70.81 / $78.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.81 / $70.81 / $70.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.25 / $37.25 / $52.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.19 / $37.25 / $51.35
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.47 / $60.47 / $60.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $32.79 / $44.00