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Arizona rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.29 / $1,769.21 / $2,675.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,948.68 / $2,948.68 / $2,948.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.18 / $3,728.74 / $6,741.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,739.90 / $3,440.59 / $4,429.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $2,160.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $1,576.85 / $4,775.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.38 / $2,626.94 / $18,029.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.73 / $1,724.61 / $2,657.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.73 / $1,724.61 / $2,597.88