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Arizona rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.50 / $355.59 / $588.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.65 / $685.10 / $1,238.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.13 / $632.16 / $861.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.44 / $589.44 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $430.29 / $1,020.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.51 / $528.00 / $4,115.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.31 / $394.23 / $607.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.31 / $394.23 / $593.85