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Arizona rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.96 / $198.65 / $393.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.98 / $292.52 / $528.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.44 / $269.92 / $367.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.27 / $218.27 / $218.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $159.34 / $391.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.67 / $225.44 / $1,743.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.99 / $168.32 / $253.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.13 / $168.32 / $253.56