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Arizona rates for HCPCS L1005

Tension Based Scoliosis Orthosis And Accessory Pads Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.57 / $2,039.64 / $3,395.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.17 / $3,569.76 / $6,453.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,470.41 / $3,293.88 / $4,487.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $2,326.75 / $2,326.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $1,698.53 / $4,470.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.53 / $2,623.07 / $17,957.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.79 / $1,718.66 / $2,588.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.35 / $1,718.66 / $2,588.91