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Arizona rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $5,128.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,174.90 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,949.84 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,348.96 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $12,882.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,122.02 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,445.44