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Arizona rates for HCPCS L5620

Addition to lower extremity, test socket, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.28 / $157.97 / $248.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.29 / $263.29 / $270.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.16 / $332.93 / $601.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.61 / $307.20 / $395.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.59 / $209.59 / $209.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $414.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.47 / $234.56 / $1,729.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.46 / $166.47 / $256.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $232.55 / $256.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.46 / $166.47 / $250.77