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Arizona rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.19 / $295.93 / $489.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.65 / $623.69 / $1,127.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.62 / $575.50 / $784.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $410.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $299.97 / $864.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.80 / $457.47 / $3,432.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.52 / $328.08 / $505.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.52 / $328.08 / $494.21