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Arizona rates for HCPCS L5617

Addition to lower extremity, quick change self-aligning unit, above knee (AK) or below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $338.84 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $363.08 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $436.52 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $302.00 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $467.74 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $302.00 / $457.09