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Arizona rates for HCPCS L5816

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.39 / $612.45 / $764.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.64 / $1,179.99 / $2,133.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.59 / $1,088.79 / $1,483.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.31 / $660.31 / $660.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.03 / $482.03 / $1,183.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.75 / $909.37 / $5,316.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.25 / $509.24 / $784.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.25 / $509.24 / $784.72