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Arizona rates for HCPCS L2397

Addition to lower extremity orthosis, suspension sleeve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.55 / $76.04 / $115.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.99 / $133.99 / $133.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.09 / $141.21 / $255.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $130.29 / $171.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $92.98 / $92.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $67.88 / $170.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.78 / $103.34 / $659.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.04 / $63.16 / $95.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.09 / $63.16 / $95.15