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Arizona rates for HCPCS L6642

Upper Extremity Addition Excursion Amplifier Lever Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.75 / $140.72 / $194.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.05 / $271.11 / $490.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.62 / $250.16 / $340.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $225.10 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $164.32 / $403.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.06 / $208.95 / $1,446.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.68 / $130.21 / $200.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $172.06 / $196.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.68 / $130.21 / $196.14