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Arizona rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.95 / $102.90 / $171.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.73 / $208.54 / $377.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.32 / $192.42 / $262.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.58 / $175.58 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $128.16 / $300.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.15 / $153.25 / $1,083.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.01 / $104.02 / $160.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.01 / $104.02 / $156.69