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Arizona rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.94 / $257.29 / $455.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.47 / $493.03 / $891.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.19 / $454.92 / $619.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $379.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $661.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.43 / $362.28 / $2,777.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.16 / $259.33 / $390.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.16 / $259.33 / $390.66