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Arizona rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,752.30 / $3,666.74 / $5,295.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,955.59 / $7,064.58 / $12,772.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,888.99 / $6,518.65 / $8,881.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $4,728.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $3,452.14 / $8,475.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.27 / $5,444.47 / $34,402.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,755.58 / $3,048.83 / $4,698.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,755.58 / $3,048.83 / $4,592.63