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Arizona rates for HCPCS L5671

Addition To Lower Extremity Below Knee / Above Knee Suspension Locking Mechanism (Shuttle Lanyard Or Equal) Excludes Socket Insert

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.75 / $358.21 / $517.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.02 / $597.02 / $612.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.98 / $754.95 / $1,364.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.01 / $696.62 / $896.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $277.86 / $692.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.28 / $531.87 / $3,301.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.20 / $297.85 / $458.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.20 / $297.85 / $448.66