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Arizona rates for HCPCS L1848

Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.56 / $344.87 / $610.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.58 / $641.49 / $1,159.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.94 / $591.91 / $806.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.50 / $437.50 / $437.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.38 / $319.38 / $803.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.62 / $453.43 / $3,239.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.11 / $308.85 / $484.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.11 / $308.85 / $484.53