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Arizona rates for HCPCS L5638

Addition To Lower Extremity Below Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.20 / $350.46 / $449.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.46 / $738.63 / $1,335.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.16 / $681.55 / $928.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $903.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.13 / $520.39 / $3,083.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.38 / $291.41 / $449.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.38 / $291.41 / $438.97