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Arizona rates for HCPCS L5642

Addition to lower extremity, above knee (AK), leather socket

Facilitymedian $603 · 10th–90th $229–$1,5850%10%10th90th$603Professionalmedian $407 · 10th–90th $324–$8320%20%10th90th$407$1.0$5.0$20.0$100.0$500.0$2.0K

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
$316.23 / $407.38 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $812.83 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $741.31 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $524.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $549.54 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $371.54 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $575.44 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $371.54 / $562.34