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Arizona rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $104.71 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $131.83 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $218.78 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $109.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $151.36 / $933.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $87.10 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $107.15 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $87.10 / $131.83