go back

Arizona rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.97 / $297.58 / $400.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.62 / $627.19 / $1,133.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.04 / $578.72 / $788.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $393.88 / $393.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $287.52 / $768.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.49 / $441.86 / $2,807.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.88 / $268.73 / $414.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.47 / $268.73 / $404.80