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Arizona rates for HCPCS L2275

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.48 / $84.85 / $372.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.15 / $135.66 / $158.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.26 / $167.13 / $302.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.29 / $150.35 / $192.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $102.60 / $102.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $74.90 / $182.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.51 / $118.91 / $744.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.71 / $70.48 / $114.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.71 / $70.48 / $106.19