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Arizona rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $512.86 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $575.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $645.65 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $380.19 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $588.84 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $380.19 / $575.44