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Arizona rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.52 / $407.10 / $505.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.50 / $857.98 / $1,551.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.77 / $791.69 / $1,078.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $472.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $344.78 / $826.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.52 / $604.46 / $3,612.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.93 / $338.50 / $521.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.93 / $338.50 / $509.89