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Arizona rates for HCPCS L2128

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.13 / $969.72 / $1,738.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.46 / $2,299.23 / $4,156.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.16 / $2,121.55 / $2,890.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $1,207.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $881.18 / $2,239.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.17 / $1,689.49 / $9,986.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.19 / $963.76 / $1,451.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.06 / $963.76 / $1,420.49