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Arizona rates for HCPCS L5726

Addition Exoskeletal Knee-Shin System Single Axis External Joints Fluid Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.03 / $1,065.23 / $1,554.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.12 / $2,052.33 / $3,710.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.31 / $1,893.74 / $2,580.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $1,606.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,172.52 / $2,878.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.46 / $1,581.69 / $11,048.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.44 / $1,041.63 / $1,605.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.44 / $1,041.63 / $1,569.07