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Arizona rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $41.69 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $58.88 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $97.72 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $45.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $64.57 / $389.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $36.31 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $56.23 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $36.31 / $54.95