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Arizona rates for HCPCS L5649

Addition To Lower Extremity Ischial Containment/Narrow M-L Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.02 / $1,272.25 / $2,131.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.04 / $1,725.04 / $1,725.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.85 / $2,181.40 / $3,943.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.61 / $2,012.82 / $2,717.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,314.00 / $3,430.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.00 / $1,569.75 / $11,959.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.40 / $1,140.05 / $1,756.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.40 / $1,140.05 / $1,717.33