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Arizona rates for HCPCS L5988

Addition To Lower Limb Prosthesis Vertical Shock Reducing Pylon Feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.24 / $1,084.70 / $1,804.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.98 / $2,232.44 / $4,036.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.93 / $2,059.91 / $2,806.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $982.72 / $2,796.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.87 / $1,572.78 / $11,271.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.42 / $1,074.80 / $1,656.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.42 / $1,074.80 / $1,619.04