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Arizona rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $260.95 / $329.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.25 / $550.00 / $994.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.62 / $507.49 / $691.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $271.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $198.39 / $504.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.08 / $387.48 / $2,350.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.11 / $216.98 / $334.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.11 / $216.98 / $326.85