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Arizona rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.43 / $33.53 / $49.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $70.66 / $127.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.90 / $65.20 / $88.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $80.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.75 / $49.79 / $328.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.65 / $30.59 / $47.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.28 / $30.59 / $46.08