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Arizona rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $53.03 / $776.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.80 / $39.02 / $70.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $36.00 / $49.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $53.03 / $268.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $105.00 / $105.00