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Arizona rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.68 / $328.22 / $574.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.09 / $625.28 / $1,130.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.71 / $576.95 / $786.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $389.66 / $389.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $284.45 / $723.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.84 / $459.46 / $3,225.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.18 / $311.10 / $479.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.18 / $311.10 / $468.63