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Arizona rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.96 / $224.06 / $582.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.59 / $471.76 / $852.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.47 / $435.30 / $587.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $544.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.15 / $332.36 / $2,011.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.05 / $186.11 / $280.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $184.46 / $211.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.22 / $186.11 / $280.36