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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
$85.11 / $120.23 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $120.23 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $147.91 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $100.00 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $128.82 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $100.00 / $151.36