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Arizona rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.91 / $189.56 / $311.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.74 / $410.87 / $742.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.33 / $379.11 / $516.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $243.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $437.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.47 / $316.63 / $1,827.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.09 / $177.31 / $267.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.25 / $177.31 / $267.08