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Arizona rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,698.24 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,089.30 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,467.37 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,570.40 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,187.76 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,137.96