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Arizona rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $93.33 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $128.82 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $100.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $141.25 / $831.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $79.43 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $123.03 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $79.43 / $120.23