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Arizona rates for HCPCS L1755

Legg Perthes orthosis, (Patten bottom type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.74 / $946.44 / $1,627.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.86 / $2,051.41 / $3,708.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.66 / $1,892.88 / $2,579.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $1,395.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $2,500.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.47 / $1,580.97 / $9,370.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.45 / $889.85 / $1,340.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.18 / $889.85 / $1,340.43