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Arizona rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $223.87 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $263.03 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $275.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $275.42 / $851.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $194.98 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $302.00 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $194.98 / $295.12