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Arizona rates for HCPCS L5637

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

Facilitymedian $372 · 10th–90th $120$9330%10%10th90th$372Professionalmedian $209 · 10th–90th $151$4370%20%10th90th$209$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
$147.91 / $208.93 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
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
$338.84 / $457.09 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $234.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $309.03 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $173.78 / $2,290.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $269.15 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $173.78 / $263.03