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Arizona rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Facilitymedian $891 · 10th–90th $309–$2,2910%10%10th90th$891Professionalmedian $575 · 10th–90th $407–$1,0000%20%10th90th$575$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
$407.38 / $575.44 / $977.24
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $1,174.90 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,071.52 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $691.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $758.58 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $478.63 / $6,309.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $741.31 / $891.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $478.63 / $724.44