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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
$335.79 / $450.37 / $558.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.75 / $949.19 / $1,716.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.88 / $875.84 / $1,193.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $485.57 / $485.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.47 / $354.47 / $870.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.75 / $668.73 / $3,853.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.45 / $374.47 / $577.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.23 / $374.47 / $564.09