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Arizona rates for HCPCS L5859

Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,693.19 / $7,878.23 / $13,107.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.03 / $14,822.20 / $26,797.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,257.59 / $13,676.78 / $18,634.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $9,812.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $8,340.66 / $20,306.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,462.51 / $11,501.68 / $81,836.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,301.45 / $7,834.36 / $12,169.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,301.45 / $7,834.36 / $12,169.09