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Arizona rates for HCPCS L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.80 / $1,973.14 / $3,282.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,211.33 / $3,211.33 / $3,211.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.11 / $4,060.88 / $7,341.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,810.30 / $3,747.06 / $5,058.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $2,448.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $1,787.62 / $5,085.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.19 / $2,860.96 / $20,504.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.07 / $1,955.12 / $3,012.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.07 / $1,955.12 / $2,945.12