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Arizona rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $153.32 / $255.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.35 / $315.56 / $570.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.39 / $291.18 / $396.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $220.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $160.97 / $395.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.71 / $222.32 / $1,599.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.19 / $152.90 / $235.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.19 / $152.90 / $230.32