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Arizona rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.98 / $53.98 / $208.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.61 / $59.18 / $212.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.90 / $76.90 / $76.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $58.35 / $105.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.38 / $53.84 / $70.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $67.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $49.01 / $78.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.74 / $61.52 / $340.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $49.17 / $74.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.44 / $49.17 / $70.54