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Arizona rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.62 / $1,159.43 / $2,051.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.02 / $2,156.75 / $3,899.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.55 / $1,990.07 / $2,711.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $2,701.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.35 / $1,584.79 / $10,889.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.55 / $1,038.36 / $1,564.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.55 / $1,038.36 / $1,564.15