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Arizona rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Facilitymedian $105 · 10th–90th $34–$2820%10%10th90th$105Professionalmedian $55 · 10th–90th $43–$2450%20%10th90th$55$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$42.66 / $56.23 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $138.04 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $125.89 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $63.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $85.11 / $501.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $47.86 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $63.10 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $47.86 / $72.44