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Arizona rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.85 / $34.65 / $50.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.33 / $69.33 / $69.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.22 / $73.06 / $132.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.56 / $67.41 / $91.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $37.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $27.27 / $67.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.60 / $51.46 / $305.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $28.82 / $44.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $28.82 / $43.41