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Arizona rates for HCPCS L6675

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Single Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.48 / $82.44 / $107.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.10 / $173.75 / $314.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.24 / $160.32 / $218.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $90.07 / $90.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $65.75 / $167.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.42 / $122.42 / $730.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.98 / $71.91 / $110.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.48 / $71.91 / $108.32