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Arizona rates for HCPCS L6715

Terminal Device Multiple Articulating Digit Includes Motor(S) Initial Issue Or Replacement (Reinstated Code Previous Description Was Terminal Device Hook Dorrance Or Equal Model # 5xa (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,673.99 / $1,714.26 / $2,852.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.79 / $3,225.21 / $5,831.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.98 / $2,975.98 / $4,054.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.07 / $2,381.07 / $2,381.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.18 / $1,738.18 / $4,418.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,724.21 / $2,494.36 / $17,752.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.89 / $1,699.03 / $2,618.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.89 / $1,699.03 / $2,618.15