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Arizona rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.95 / $985.07 / $1,638.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.22 / $2,027.39 / $3,665.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.03 / $1,870.71 / $2,548.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,222.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $2,539.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.14 / $1,428.31 / $10,198.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.19 / $976.08 / $1,504.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.19 / $976.08 / $1,470.32