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Arizona rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.44 / $101.35 / $179.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $235.77 / $426.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.16 / $217.54 / $296.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $116.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $85.05 / $266.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.05 / $142.19 / $992.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.99 / $93.02 / $140.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $92.18 / $105.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.99 / $93.02 / $140.12