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Arizona rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.75 / $406.26 / $543.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.02 / $856.22 / $1,548.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.54 / $790.06 / $1,076.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.40 / $456.40 / $456.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $333.17 / $911.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.24 / $603.22 / $3,730.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.34 / $364.39 / $561.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $360.00 / $360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.34 / $364.39 / $548.90