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Arizona rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $64.57 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $89.13 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $41.69 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $69.18 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $85.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $50.12 / $275.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $54.95 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $54.95 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.95 / $87.10