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Arizona rates for HCPCS L5857

Addition To Lower Proximity Prosthesis Endoskeletal Knee-Shin System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,516.56 / $4,625.16 / $7,695.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,408.83 / $8,701.91 / $15,732.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,022.09 / $8,029.45 / $10,940.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,652.12 / $6,652.12 / $6,652.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,856.05 / $4,856.05 / $11,921.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.74 / $6,706.30 / $48,028.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,159.04 / $4,601.64 / $7,091.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,159.04 / $4,601.64 / $6,931.74