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Arizona rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.19 / $2,016.55 / $3,355.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,369.50 / $3,369.50 / $3,369.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.84 / $4,150.21 / $7,503.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,872.12 / $3,829.50 / $5,026.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,502.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $1,826.95 / $5,197.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.96 / $2,923.91 / $20,912.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.95 / $1,998.13 / $3,079.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.95 / $1,998.13 / $3,009.91