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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
$317.13 / $319.01 / $527.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.14 / $614.62 / $1,111.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.35 / $567.13 / $772.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $458.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $334.77 / $822.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.32 / $494.04 / $3,692.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.64 / $353.67 / $544.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.64 / $353.67 / $532.75