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Arizona rates for HCPCS L7499

Upper Extremi Prosthes, Not Otherwise Specified

Insurance Carrier
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,555.10 / $28,555.10 / $28,555.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.76 / $64.16 / $116.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.40 / $59.20 / $80.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.23 / $2,682.23 / $2,682.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,703.06