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Arizona rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.14 / $108.51 / $143.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.30 / $228.69 / $413.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.26 / $211.02 / $287.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $274.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.01 / $161.11 / $1,050.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.82 / $96.06 / $148.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.82 / $96.06 / $148.03