go back

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
$163.33 / $219.06 / $275.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.80 / $461.68 / $834.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.51 / $426.01 / $580.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $274.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $200.49 / $471.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.59 / $325.26 / $1,955.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.63 / $182.14 / $280.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.63 / $182.14 / $274.38