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Arizona rates for HCPCS L5301

Below Knee, Molded Socket, Shin, Sach Foot, Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.25 / $1,646.40 / $2,457.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,744.00 / $2,744.00 / $2,744.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.54 / $3,469.94 / $6,273.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,549.76 / $3,201.78 / $4,122.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $1,721.98 / $1,721.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,257.05 / $3,749.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.57 / $2,444.64 / $14,785.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.59 / $1,374.83 / $2,118.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.59 / $1,374.83 / $2,071.00