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Arizona rates for HCPCS L5986

All lower extremity prostheses, multiaxial rotation unit (MCP or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.25 / $456.35 / $596.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.24 / $961.79 / $1,738.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.60 / $887.46 / $1,164.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.31 / $663.31 / $663.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.22 / $484.22 / $1,085.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.96 / $677.59 / $4,017.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.95 / $379.44 / $584.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.95 / $379.44 / $571.58