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Arizona rates for HCPCS L5830

Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.85 / $1,366.50 / $1,920.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.23 / $2,880.00 / $5,206.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,993.09 / $2,657.45 / $3,620.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $1,654.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,207.81 / $2,780.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.52 / $2,029.01 / $12,123.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.93 / $1,136.22 / $1,750.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.93 / $1,136.22 / $1,711.55