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Arizona rates for HCPCS L5626

Addition To Lower Extremity Test Socket Hip Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $295.04 / $426.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.13 / $621.80 / $1,124.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.32 / $573.76 / $781.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.58 / $493.58 / $493.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.31 / $360.31 / $884.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.31 / $438.06 / $3,080.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.04 / $285.49 / $439.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.04 / $285.49 / $430.06