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Arizona rates for HCPCS L5828

Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.26 / $1,975.74 / $2,522.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.67 / $4,164.03 / $7,528.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,881.69 / $3,842.25 / $5,235.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $2,117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $4,123.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.64 / $2,933.64 / $17,754.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.30 / $1,690.94 / $2,605.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.41 / $1,690.94 / $2,547.16