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Arizona rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.58 / $2,739.56 / $3,836.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.30 / $5,773.84 / $10,438.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,995.73 / $5,327.64 / $7,258.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.06 / $2,853.06 / $2,853.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,082.73 / $6,673.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.57 / $4,067.77 / $24,371.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.79 / $2,277.89 / $3,510.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.79 / $2,277.89 / $3,431.32