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Arizona rates for HCPCS L5656

Addition To Lower Extremity Socket Insert Knee Disarticulation (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.43 / $267.14 / $385.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.85 / $563.00 / $1,017.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.63 / $519.50 / $707.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $335.84 / $335.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $601.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.40 / $396.66 / $2,344.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.75 / $222.12 / $342.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.75 / $222.12 / $334.59