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Arizona rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.92 / $368.73 / $457.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.12 / $777.12 / $1,405.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.79 / $717.07 / $977.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $330.09 / $810.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.93 / $547.51 / $3,241.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.10 / $306.58 / $472.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.10 / $306.58 / $461.84