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Arizona rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.69 / $253.80 / $338.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.00 / $423.00 / $423.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.07 / $534.91 / $967.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.18 / $493.57 / $647.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $553.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.24 / $376.85 / $2,270.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.73 / $211.03 / $325.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.73 / $211.03 / $317.89