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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
$53.70 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $58.88 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $75.86 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $37.15 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $61.66 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $67.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $61.66 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $48.98 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $48.98 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $48.98 / $74.13