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Arizona rates for HCPCS L5999

Lower extremity prosthesis, not otherwise specified

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $309.03 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,148.15