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Arizona rates for HCPCS L2526

Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.64 / $463.46 / $840.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.98 / $827.20 / $1,495.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.45 / $763.27 / $1,039.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.17 / $499.17 / $499.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.39 / $364.39 / $894.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.53 / $664.92 / $4,299.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.59 / $384.97 / $579.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.94 / $384.97 / $579.90