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Arizona rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.75 / $790.02 / $1,140.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.34 / $1,522.11 / $2,751.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.35 / $1,404.48 / $1,913.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $895.00 / $895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $653.35 / $2,020.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.31 / $1,173.04 / $7,595.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.84 / $714.57 / $1,101.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.84 / $714.57 / $1,076.40