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Arizona rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $218.78 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $295.12 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $489.78 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $275.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $323.59 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $181.97 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $281.84 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $181.97 / $275.42