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Arizona rates for HCPCS L5653

Addition To Lower Extremity Knee Disarticulation Expandable Wall Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.49 / $351.87 / $557.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.29 / $741.60 / $1,340.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.22 / $684.29 / $932.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.76 / $555.76 / $555.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $405.70 / $946.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.98 / $544.94 / $3,703.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.97 / $348.49 / $537.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.97 / $348.49 / $524.95