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Arizona rates for HCPCS L2040

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.01 / $101.83 / $180.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.51 / $189.70 / $342.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.28 / $175.04 / $238.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.94 / $142.94 / $142.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $104.35 / $282.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.42 / $139.38 / $1,059.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.10 / $99.79 / $150.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.19 / $99.79 / $143.16