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Arizona rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,621.81 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,187.76 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,630.78 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,398.83 / $14,454.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,380.38 / $17,782.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,089.30 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,380.38 / $2,041.74