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Arizona rates for HCPCS 27881

Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.25 / $1,097.95 / $8,317.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,364.00 / $7,457.00 / $11,396.00