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Arizona rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.99 / $184.26 / $302.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.94 / $436.88 / $789.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.33 / $403.11 / $549.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $215.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $444.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.27 / $307.79 / $1,848.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.62 / $172.36 / $259.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.62 / $172.36 / $259.63