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Arizona rates for HCPCS L6691

Upper Extremity Addition Removable Insert Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.02 / $248.10 / $309.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.74 / $522.89 / $945.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.87 / $482.49 / $657.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $274.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $492.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.44 / $368.41 / $2,227.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.82 / $206.69 / $318.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.82 / $206.69 / $311.36