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Arizona rates for HCPCS L6884

Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.61 / $1,607.73 / $2,184.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.46 / $3,097.56 / $5,600.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.64 / $2,858.19 / $3,894.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $1,667.14 / $3,804.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.01 / $1,789.96 / $14,087.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.22 / $1,336.80 / $2,059.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.22 / $1,336.80 / $2,013.70