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Arizona rates for HCPCS L5678

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

Facilitymedian $51 · 10th–90th $17–$1380%10%10th90th$51Professionalmedian $27 · 10th–90th $20–$590%20%10th90th$27$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$19.95 / $26.92 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $69.18 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $63.10 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $29.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $42.66 / $251.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $23.99 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $51.29 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.99 / $36.31