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Arizona rates for HCPCS L5920

Addition, endoskeletal system, above knee (AK) or hip disarticulation, alignable system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $371.54 / $1,698.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $501.19 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $389.05 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $426.58 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $316.23 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $489.78 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $316.23 / $478.63