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Arizona rates for HCPCS 29505

Application Long Leg Splint Thigh Ankle/Toes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.31 / $932.00 / $2,390.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $71.95 / $169.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.71 / $185.71 / $185.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.33 / $227.60 / $374.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.20 / $83.59 / $125.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.97 / $81.66 / $132.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.83 / $89.30 / $1,053.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.15 / $91.79 / $675.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $82.63 / $159.16