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Arizona rates for HCPCS L1610

Hip Orthosis Abduction Control Of Hip Joints Flexible (Frejka Cover Only) Prefabricated Item That Has Been Trimmed Bent Molded Assembled Orotherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $26.38 / $43.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.82 / $57.16 / $103.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.56 / $52.75 / $71.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.91 / $30.91 / $30.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.56 / $22.56 / $76.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $44.06 / $263.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $24.67 / $37.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $24.67 / $37.17