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Arizona rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.80 / $648.63 / $1,072.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.04 / $1,081.04 / $1,081.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.42 / $1,367.03 / $2,471.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.88 / $1,261.39 / $1,624.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.11 / $1,200.11 / $1,200.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.09 / $876.09 / $1,990.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.23 / $963.10 / $7,578.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.92 / $719.09 / $1,108.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.92 / $719.09 / $1,083.21