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Arizona rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.57 / $1,748.85 / $2,528.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.72 / $3,369.45 / $6,091.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,331.80 / $3,109.06 / $4,236.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $2,476.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $1,807.55 / $4,437.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.47 / $2,596.73 / $16,803.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.85 / $1,585.34 / $2,442.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.78 / $1,585.34 / $2,388.09