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Arizona rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.88 / $410.24 / $563.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.34 / $864.63 / $1,563.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.35 / $797.80 / $1,077.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $427.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $311.89 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.22 / $609.15 / $3,613.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.30 / $341.11 / $525.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.30 / $341.11 / $513.84