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Arizona rates for HCPCS L2192

Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $323.59 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $251.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $354.81 / $2,137.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $199.53 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $269.15 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $302.00