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Arizona rates for HCPCS L2650

Addition to lower extremity, pelvic and thoracic control, gluteal pad, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $66.91 / $121.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $142.88 / $258.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.87 / $131.83 / $179.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.36 / $112.36 / $112.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $82.02 / $193.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.54 / $104.98 / $701.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.90 / $67.45 / $101.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.90 / $67.45 / $96.76