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Arizona rates for HCPCS L5790

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.07 / $477.67 / $642.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.68 / $1,006.73 / $1,820.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.70 / $928.93 / $1,265.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $582.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $425.01 / $1,043.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.95 / $709.25 / $4,473.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.13 / $430.54 / $663.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.07 / $430.54 / $648.54