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Arizona rates for HCPCS L6915

Hand restoration (shading and measurements included), replacement glove for above

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.69 / $436.08 / $683.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.58 / $840.18 / $1,519.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.44 / $775.26 / $1,056.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $470.38 / $1,134.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $647.52 / $4,034.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.80 / $374.86 / $577.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.80 / $374.86 / $564.66