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Arizona rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.59 / $921.10 / $1,147.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.38 / $1,941.27 / $3,509.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.45 / $1,791.26 / $2,440.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $963.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $703.15 / $2,064.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.48 / $1,367.68 / $8,261.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.07 / $769.04 / $1,185.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.07 / $769.04 / $1,158.45