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Arizona rates for HCPCS L5639

Addition to lower extremity, below knee (BK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.99 / $807.41 / $1,001.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.62 / $1,555.63 / $2,812.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.55 / $1,435.40 / $1,955.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $870.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $635.47 / $1,560.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.41 / $1,198.86 / $7,424.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.77 / $671.35 / $1,034.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.77 / $671.35 / $1,027.33