go back

Arizona rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.41 / $1,972.15 / $2,848.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,286.92 / $3,286.92 / $3,374.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.58 / $4,156.46 / $7,514.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,876.45 / $3,835.26 / $5,033.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $1,752.00 / $4,293.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.63 / $2,928.30 / $17,077.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.08 / $1,639.81 / $2,526.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.08 / $1,639.81 / $2,470.14