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Arizona rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.28 / $194.94 / $344.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.82 / $389.51 / $704.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.57 / $359.42 / $489.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $246.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $179.66 / $573.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.85 / $286.23 / $2,095.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.41 / $196.49 / $295.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.59 / $196.49 / $295.98