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Arizona rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.85 / $609.37 / $880.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.51 / $1,284.29 / $2,321.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.78 / $1,185.04 / $1,614.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $702.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $512.74 / $1,569.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $904.80 / $5,917.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.84 / $560.78 / $864.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.84 / $560.78 / $844.74