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Arizona rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.10 / $535.91 / $838.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.66 / $1,129.47 / $2,042.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.64 / $1,042.19 / $1,419.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $957.73 / $957.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $699.14 / $1,565.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.30 / $795.73 / $5,705.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.21 / $545.71 / $840.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.21 / $545.71 / $840.91