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Arizona rates for HCPCS L5540

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.82 / $1,302.57 / $1,725.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.94 / $2,745.27 / $4,963.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,899.84 / $2,533.12 / $3,451.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $1,599.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,167.99 / $2,867.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.67 / $1,934.10 / $11,580.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.54 / $1,083.78 / $1,670.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.54 / $1,083.78 / $1,670.08