go back

Arizona rates for HCPCS L8400

Prosthetic Sheath Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $11.34 / $18.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $18.89 / $19.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $23.90 / $43.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $22.05 / $28.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $14.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $10.54 / $21.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $16.82 / $101.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $9.43 / $14.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $9.43 / $14.42