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Arizona rates for HCPCS L5974

All Lower Extremity Prostheses Foot Single Axis Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.12 / $167.82 / $242.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.91 / $353.71 / $639.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.77 / $326.36 / $444.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $174.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $127.58 / $324.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.08 / $249.17 / $1,528.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.11 / $139.54 / $215.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.11 / $139.54 / $210.19