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Arizona rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $315.10 / $515.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.83 / $664.09 / $1,200.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.58 / $612.78 / $834.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $432.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $315.80 / $802.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.98 / $467.87 / $3,605.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.17 / $345.39 / $532.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $456.41 / $520.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.17 / $345.39 / $520.28