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Arizona rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Facilitymedian $407 · 10th–90th $132–$1,0960%10%10th90th$407Professionalmedian $224 · 10th–90th $170–$5890%20%10th90th$224$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $223.87 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $537.03 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $489.78 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $288.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $331.13 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $186.21 / $3,548.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $338.84 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $186.21 / $281.84