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Arizona rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Facilitymedian $372 · 10th–90th $138$9770%10%10th90th$372Professionalmedian $251 · 10th–90th $186$4680%20%10th90th$251$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $257.04 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $501.19 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $457.09 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $275.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $323.59 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $218.78 / $2,884.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $331.13 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $218.78 / $323.59