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Arizona rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.54 / $2,528.92 / $3,180.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.76 / $4,872.39 / $8,809.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,371.90 / $4,495.87 / $6,125.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,249.00 / $3,249.00 / $3,249.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.77 / $2,371.77 / $5,990.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,357.50 / $3,755.02 / $22,345.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.50 / $2,102.75 / $3,240.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.50 / $2,102.75 / $3,167.50