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Arizona rates for HCPCS L1846

Knee Orthosis Double Upright Thigh And Calf With Adjustable Flexion And Extension Joint (Unicentric Or Polycentric) Medial-Lateral And Rotation Control With Or Without Varus/Valgus Adjustment Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.22 / $755.88 / $1,260.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.55 / $1,258.55 / $1,510.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.55 / $1,591.49 / $2,877.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.38 / $1,468.50 / $1,927.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.60 / $840.60 / $840.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $613.64 / $1,634.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.35 / $1,065.59 / $6,648.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.80 / $627.88 / $945.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.80 / $627.88 / $945.81