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Arizona rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.28 / $78.12 / $138.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.96 / $117.96 / $117.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.22 / $145.31 / $262.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.55 / $134.07 / $175.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $99.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $181.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.17 / $106.78 / $730.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.23 / $69.95 / $113.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.23 / $69.95 / $105.39