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Arizona rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,302.69 / $14,791.08 / $57,543.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,877.62 / $22,908.68 / $26,915.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $16,982.44 / $35,481.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,877.62 / $28,183.83 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $16,218.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $19,054.61 / $58,884.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $12,882.50 / $144,543.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $19,952.62 / $22,387.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $12,882.50 / $19,498.45