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Arizona rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.08 / $148.78 / $244.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.66 / $352.78 / $637.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.13 / $325.51 / $443.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $174.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $127.25 / $323.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.85 / $248.53 / $1,530.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.66 / $139.18 / $209.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.66 / $139.18 / $209.65