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Arizona rates for HCPCS L5850

Addition Endoskeletal System Above Knee Or Hip Disarticulation Knee Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.69 / $69.09 / $114.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.31 / $145.63 / $263.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.78 / $134.37 / $176.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $99.32 / $99.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $72.50 / $178.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.45 / $102.59 / $799.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $76.59 / $118.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.81 / $76.59 / $115.39