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Arizona rates for HCPCS G0501

Resource-intensive services for patients for whom the use of specialized mobility-assistive technology (such as adjustable height chairs or tables, patient lift, and adjustable padded leg supports) is medically necessary and used during the provision of an office/outpatient, evaluation and management visit (list separately in addition to primary service)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.60 / $23.98 / $53.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $12.64 / $19.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $18.07 / $36.70