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Arizona rates for HCPCS L5692

Addition To Lower Extremity Above Knee Pelvic Control Belt Light

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $95.69 / $121.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.82 / $201.66 / $364.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.57 / $186.09 / $253.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $99.66 / $99.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $72.75 / $184.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.37 / $142.08 / $840.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.92 / $79.56 / $122.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.92 / $79.56 / $119.86