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Arizona rates for HCPCS L6500

Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.39 / $1,851.72 / $2,897.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.32 / $3,902.66 / $7,055.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,700.80 / $3,601.06 / $4,906.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.85 / $2,970.85 / $2,970.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.71 / $2,168.71 / $4,887.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.80 / $2,772.56 / $19,143.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.91 / $1,847.62 / $2,847.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.28 / $1,847.62 / $2,783.19