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Arizona rates for HCPCS L5987

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

Facilitymedian $6,918 · 10th–90th $2,512–$17,7830%10%10th90th$6,918Professionalmedian $4,467 · 10th–90th $3,715–$7,7620%20%10th90th$4,467$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,466.84 / $7,585.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $9,332.54 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $8,511.38 / $16,218.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $6,025.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $5,888.44 / $40,738.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,890.45 / $43,651.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $6,025.60 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,890.45 / $5,888.44