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Arizona rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.24 / $177.97 / $296.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.49 / $363.01 / $656.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.21 / $334.95 / $456.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $228.28 / $228.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $166.64 / $423.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.66 / $266.75 / $1,903.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.72 / $182.26 / $280.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.51 / $182.26 / $274.54