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Arizona rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,337.38 / $3,128.78 / $4,144.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,825.37 / $6,594.14 / $11,921.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,563.43 / $6,084.57 / $8,290.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $3,745.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $6,712.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.50 / $4,645.70 / $27,462.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,351.30 / $2,601.52 / $4,008.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,405.32 / $2,601.52 / $3,918.83