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Arizona rates for HCPCS L5647

Addition To Lower Extremity Below Knee Suction Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.11 / $572.85 / $710.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.75 / $954.75 / $980.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.21 / $1,207.33 / $2,182.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.52 / $1,114.02 / $1,462.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $596.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $1,107.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.50 / $850.58 / $5,050.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.49 / $476.31 / $733.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $665.36 / $733.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.49 / $476.31 / $717.49