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Arizona rates for HCPCS L5950

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $512.86 / $2,344.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $741.31 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $562.34 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $660.69 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $467.74 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $724.44 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $467.74 / $707.95