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Arizona rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.27 / $2,501.75 / $3,103.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.55 / $5,272.63 / $9,532.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,648.88 / $4,865.18 / $6,628.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.81 / $3,006.81 / $3,006.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $2,194.96 / $5,388.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.91 / $3,714.66 / $22,146.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.08 / $2,080.16 / $3,205.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.08 / $2,080.16 / $3,133.47