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Arizona rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,814.29 / $3,906.04 / $6,498.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.31 / $8,038.94 / $14,534.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,563.28 / $7,417.70 / $10,013.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $6,042.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $4,410.66 / $10,068.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,498.65 / $5,663.57 / $40,507.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,498.11 / $3,870.38 / $5,964.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,498.11 / $3,870.38 / $5,830.18