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Arizona rates for HCPCS L2090

Hip Knee Ankle Foot Orthosis Torsion Control Unilateral Torsion Cable Ball Bearing Hip Joint Pelvic Band/ Belt Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.82 / $263.47 / $464.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.08 / $571.05 / $1,032.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.20 / $526.94 / $717.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.54 / $387.54 / $387.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $282.89 / $694.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.11 / $444.50 / $2,619.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.52 / $246.45 / $371.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $246.45 / $371.24