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Arizona rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.85 / $2,179.98 / $3,148.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.83 / $4,594.49 / $8,306.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,179.57 / $4,239.43 / $5,776.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $3,364.97 / $3,364.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $2,456.42 / $5,457.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.23 / $3,236.89 / $21,225.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,834.32 / $2,029.53 / $3,127.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,834.32 / $2,029.53 / $3,057.20