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Arizona rates for HCPCS L5925

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.56 / $240.55 / $400.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.43 / $496.47 / $897.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.57 / $458.10 / $624.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $260.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $190.44 / $467.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.88 / $349.76 / $2,277.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.84 / $201.20 / $310.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.84 / $201.20 / $303.07