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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

Facilitymedian $22,909 · 10th–90th $8,318–$53,7030%10%10th90th$22,909Professionalmedian $14,791 · 10th–90th $12,023–$25,7040%20%40%10th90th$14,791$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $14,791.08 / $25,703.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21,877.62 / $21,877.62 / $21,877.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $30,902.95 / $57,543.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21,877.62 / $28,183.83 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $16,218.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $19,054.61 / $58,884.37
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $12,882.50 / $144,543.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $22,908.68 / $22,908.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $12,882.50 / $19,498.45