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Arizona rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Facilitymedian $72 · 10th–90th $26–$1860%10%10th90th$72Professionalmedian $46 · 10th–90th $38–$810%20%10th90th$46$0.1$0.5$2.0$10.0$50.0$200.0

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
$38.02 / $45.71 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $95.50 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $89.13 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $50.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $61.66 / $426.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $40.74 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $61.66 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $40.74 / $60.26