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Arizona rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.29 / $161.09 / $268.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.77 / $331.51 / $599.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.41 / $305.88 / $416.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $231.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $169.11 / $415.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.04 / $181.03 / $1,667.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.25 / $159.61 / $245.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.25 / $159.61 / $240.42