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Arizona rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $1,412.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $660.69 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $724.44 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $478.63 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $741.31 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $478.63 / $724.44