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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
$281.84 / $398.11 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $398.11 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $457.09 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $331.13 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $501.19 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $331.13 / $489.78