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Arizona rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.57 / $222.40 / $321.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.75 / $468.73 / $847.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.38 / $432.51 / $589.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $239.78 / $239.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $175.04 / $429.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.39 / $330.23 / $1,982.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.14 / $184.93 / $284.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.02 / $247.02 / $247.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.14 / $184.93 / $284.95