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Arizona rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.32 / $28.59 / $36.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.68 / $60.26 / $108.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.71 / $55.61 / $75.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $29.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $21.74 / $55.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.35 / $42.46 / $253.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $23.77 / $36.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $23.77 / $36.64