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Arizona rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.69 / $195.41 / $242.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.01 / $411.85 / $744.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.02 / $380.02 / $517.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $203.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $148.56 / $377.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.90 / $290.14 / $1,717.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.85 / $162.47 / $250.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.85 / $162.47 / $244.75