go back

Arizona rates for HCPCS L5160

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.86 / $2,750.66 / $3,880.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.02 / $5,299.60 / $9,581.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,667.55 / $4,890.06 / $6,662.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $3,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $2,679.32 / $6,577.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.53 / $4,084.26 / $24,492.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.14 / $2,287.12 / $3,524.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,114.63 / $2,287.12 / $3,445.23