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Arizona rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,468.25 / $2,770.81 / $4,106.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,616.53 / $5,839.71 / $10,557.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,041.32 / $5,388.42 / $7,341.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $2,721.75 / $6,680.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,047.89 / $3,762.02 / $26,807.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,369.23 / $2,562.50 / $3,948.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,313.71 / $2,562.50 / $3,856.19