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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
$263.03 / $371.54 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $501.19 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $549.54 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $309.03 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $467.74 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $309.03 / $457.09