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Arizona rates for HCPCS L5210

Above Knee Short Prosthesis No Knee Joint (Stubbies) With Foot Blocks No Ankle Joints Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.91 / $1,599.25 / $2,523.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.02 / $3,370.55 / $6,093.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,332.56 / $3,110.08 / $4,237.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.89 / $1,819.89 / $1,819.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,328.52 / $4,039.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.03 / $2,476.71 / $15,534.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.25 / $1,453.01 / $2,239.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.27 / $1,776.27 / $1,776.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.25 / $1,453.01 / $2,239.04