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Arizona rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.11 / $170.25 / $266.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.33 / $358.82 / $648.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.32 / $331.10 / $451.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $217.40 / $499.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.27 / $252.77 / $1,867.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.38 / $178.55 / $275.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.38 / $178.55 / $268.95