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Arizona rates for HCPCS L5910

Addition, endoskeletal system, below knee (BK), alignable system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.46 / $195.62 / $323.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.02 / $326.02 / $326.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.13 / $412.29 / $745.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.94 / $380.42 / $489.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.20 / $281.20 / $281.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $205.28 / $504.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $290.45 / $2,291.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.01 / $216.86 / $334.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.01 / $216.86 / $326.68