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Arizona rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.33 / $287.95 / $486.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.92 / $479.92 / $492.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.99 / $606.87 / $1,097.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.99 / $559.98 / $720.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $382.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $278.88 / $697.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.91 / $445.92 / $3,201.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.47 / $300.36 / $462.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.47 / $300.36 / $452.45