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Arizona rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $12.93 / $21.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $27.25 / $49.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $25.15 / $34.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $11.91 / $30.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $20.03 / $134.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.60 / $12.83 / $19.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.60 / $12.83 / $19.34