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Arizona rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $389.05 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $645.65 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $501.19 / $3,715.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $354.81 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $549.54 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $354.81 / $537.03