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Arizona rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $10,715.19 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,589.25 / $26,302.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,848.93 / $20,892.96 / $39,810.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $12,882.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $13,182.57 / $43,651.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $9,332.54 / $18,620.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $14,454.40 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $9,332.54 / $14,125.38