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Arizona rates for HCPCS L5978

All lower extremity prostheses, foot, multiaxial ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.69 / $210.16 / $275.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.61 / $442.92 / $800.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.52 / $408.70 / $556.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $243.19 / $243.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $177.53 / $435.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.81 / $312.05 / $1,857.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.94 / $174.74 / $269.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.57 / $174.74 / $263.23