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Arizona rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.88 / $40.83 / $67.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.26 / $84.04 / $151.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.16 / $77.55 / $105.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $50.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $36.97 / $105.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $59.20 / $423.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $40.45 / $62.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $40.45 / $60.92