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Arizona rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.72 / $116.41 / $192.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.91 / $245.33 / $443.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.78 / $226.38 / $308.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $161.63 / $161.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $117.99 / $399.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.31 / $172.84 / $1,316.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.64 / $129.05 / $198.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $170.54 / $194.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.64 / $129.05 / $194.40