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Arizona rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $602.56 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,000.00 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $676.08 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $371.54 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $575.44 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $371.54 / $562.34