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Arizona rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.81 / $137.62 / $245.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.40 / $265.16 / $479.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.49 / $244.66 / $333.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $197.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $143.82 / $360.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.50 / $213.13 / $1,592.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.90 / $152.57 / $235.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.90 / $152.57 / $229.83