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Arizona rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.91 / $762.22 / $1,216.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.69 / $1,606.44 / $2,904.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.73 / $1,482.30 / $2,019.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,018.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $2,056.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.02 / $1,131.75 / $8,447.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.02 / $813.25 / $1,253.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.02 / $813.25 / $1,244.49