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Arizona rates for HCPCS L2640

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.38 / $201.92 / $331.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.53 / $478.76 / $865.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.31 / $441.75 / $601.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $236.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $172.70 / $438.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.94 / $337.29 / $2,077.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.54 / $188.88 / $284.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.54 / $188.88 / $284.52