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Arizona rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.64 / $131.66 / $230.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.45 / $269.00 / $486.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.16 / $248.22 / $338.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $166.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $121.56 / $376.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.83 / $197.66 / $1,389.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.17 / $132.94 / $204.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.17 / $132.94 / $200.28