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Arizona rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.66 / $423.29 / $611.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.95 / $892.11 / $1,612.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.39 / $823.18 / $1,121.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $448.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $327.45 / $817.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.22 / $628.52 / $3,726.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.11 / $351.96 / $542.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.11 / $351.96 / $542.36