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Arizona rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.27 / $402.73 / $499.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.96 / $848.79 / $1,534.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.39 / $783.19 / $1,067.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $419.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $895.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.18 / $597.98 / $3,569.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.64 / $334.86 / $516.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.64 / $334.86 / $504.42