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Arizona rates for HCPCS L5699

All lower extremity prostheses, shoulder harness

Facilitymedian $245 · 10th–90th $78$6460%10%10th90th$245Professionalmedian $135 · 10th–90th $100$2450%20%10th90th$135$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
$100.00 / $134.90 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $323.59 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $295.12 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $169.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $199.53 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $112.20 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $173.78 / $245.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $112.20 / $169.82