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Arizona rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.09 / $1,070.36 / $1,439.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.47 / $2,255.91 / $4,078.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.18 / $2,081.57 / $2,836.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,226.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $895.54 / $2,241.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.83 / $1,589.32 / $10,120.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.96 / $964.75 / $1,486.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.96 / $964.75 / $1,453.26