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Arizona rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Facilitymedian $309 · 10th–90th $115–$8130%10%10th90th$309Professionalmedian $214 · 10th–90th $151–$3630%20%10th90th$214$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
$151.36 / $213.80 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $416.87 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $380.19 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $295.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $263.03 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $177.83 / $2,398.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $275.42 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $177.83 / $269.15