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Arizona rates for HCPCS L5614

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.73 / $916.26 / $1,524.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.00 / $1,885.73 / $3,409.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.99 / $1,739.99 / $2,370.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $1,317.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $961.99 / $2,361.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.11 / $1,328.51 / $9,502.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.56 / $907.89 / $1,399.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.56 / $907.89 / $1,367.60