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Arizona rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $120.23 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $162.18 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $269.15 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $181.97 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $100.00 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $154.88 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $100.00 / $151.36