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Arizona rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$209

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $398 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$170 to $245
FacilityA hospital or hospital-owned outpatient department$398$224 to $617

How much rates vary

Facilitymedian $398 · 10th to 90th $123 to $933Professionalmedian $209 · 10th to 90th $148 to $479
$50$100$200$500$1K$2Kfacility $398professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$512.86
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$309.03
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$263.03

Where Arizona sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 42nd of 51

$209

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.