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Arizona rates for HCPCS L5639

Addition to lower extremity, below knee (BK), wood socket

Facilitymedian $1,479 · 10th–90th $437–$3,5480%10%10th90th$1,479Professionalmedian $776 · 10th–90th $589–$1,5140%20%10th90th$776$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$575.44 / $776.25 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $1,778.28 / $3,311.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,621.81 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $870.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,202.26 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $676.08 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,479.11 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $676.08 / $1,023.29